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对PCNL的解剖学方法:在3D视角中理想的穿孔区域的概念

Rishi Nayyar¹, Ankit Sachan², Nitish Aggarwal²

¹Department of Urology, All India Institute of Medical Sciences, New Delhi, 110029, India. nayyarrishi@gmail.com.

|August 9, 2023

概括

新的新的新的新

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术创新在外科创新.
腎石病的管理方法

背景情况:

穿皮骨切除术 (PCNL) 传统上侧重于理想的"穿孔通道".
在现实世界中,PCNL穿孔技术往往偏离理论理想.
在理解理想路径描述与实际穿孔创建之间存在差距.

研究的目的:

介绍并描述PCNL.NL的"穿孔区域"概念.
介绍一种基于"穿孔区域"原则的新穿孔技术.
评估这种新技术在临床实践中的有效性和安全性.

主要方法:

定义"穿孔区域"为最大的虚构体,适合体,其顶部位于骨.
在PCNL期间将这一原理应用于一种新的穿孔技术.
使用"穿孔区域"概念对136个PCNL案件 (2015-2021) 进行了回顾性审查.

主要成果:

在136例中127例 (93.4%) 实现了无石头率.
只有一个病例 (0.7%) 需要输血.
没有遇到伪动脉瘤.

结论:

"穿孔区"概念为PCNL穿孔制造提供了一个实用的方法.
这一原则有助于将理论路径描述与外科手术现实相协调.
该技术表现出良好的石头清除率和有利的安全概况.

关键词:

卡利克斯 (Calyx) 是一个杯子.理想的穿孔孔是理想的这就是Infundibulum.脊髓切除术 (nephrostomy) 是一种缩骨切除术.通过皮肤进行脏石切除术.穿孔通道的穿孔通道石头石头石头石头石头

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