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双极性化在标准皮穿性利切除术期间的应用
Je Mo Yoo1, Hee Youn Kim1, Dong Sup Lee1
1Department of Urology, St. Vincent's Hospital, The Catholic University of Korea, Suwon, South Korea.
概括
双极性烧伤有效地管理通过皮肤瘤切除术 (PCNL) 后的通道部位出血. 这种方法减少了对输血的需求,而不是nephrostomy放置,改善患者的结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 管道部位出血是皮肤通瘤切除术 (PCNL) 的并发症.
- 有效的管理策略至关重要,以尽量减少血液损失和输血需求.
研究的目的:
- 评估双极性烧伤治疗治疗双极性烧伤治疗双极性双极性烧伤治疗双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极性双极
- 为了比较双极性烧伤,瘤切除和无干预治疗血流控制之间的结果.
主要方法:
- 一项涉及181名接受标准PCNL的患者的研究.
- 患者被分为三组:没有手术,瘤切除,或因通道部位出血而发生双极性烧伤.
- 术后血红蛋白水平和输血率在各组之间进行了比较.
主要成果:
- 双极性烧伤组的血红蛋白中位数下降显著较小 (-0.2),与瘤手术组 (-1.75) 和无手术组 (-1.0) 相比 (P < .001).
- 化组的输血率明显较低 (3.2%),而非化组的输血率 (41.7%) (P < .001).
结论:
- 双极性烧伤是一种有效的方法,用于控制PCNL后通道部位出血.
- 这种技术显著减少了对输血的需要,为nephrostomy放置提供了有利的替代方案.
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