靠背与倾斜的皮肤透膜神经利息切除术 (PCNL):一位外科医生的经验
Deerush Kannan1, Mohsin Quadri2, Praveen G Sekaran3
1Urology, Apollo Hospitals, Chennai, IND.
Cureus
|August 17, 2023
概括
与容易发生的PCNL相比,靠部穿皮瘤切除术 (PCNL) 提供了更短的手术时间和更少的疼痛. 然而,对于复杂的病例,容易出现的PCNL可能是首选的,而卧床PCNL适合高风险患者.
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
- 腎石病的治療方法
背景情况:
- 穿皮瘤切除术 (PCNL) 是治疗大于2厘米的结石的黄金标准.
- 仰卧和俯卧都具有优势,但最佳定位仍在争论中.
- 这项研究比较了卧卧和倾斜的PCNL之间的手术结果.
研究的目的:
- 为了评估和比较卧底与倾向性皮肤穿神经切除术 (PCNL).
- 评估操作时间,成功率,石头清除,安全性和并发症.
- 为了确定每个PCNL位置的最佳患者选择.
主要方法:
- 对166名患者进行前性队列研究 (83名躺卧,83名倾斜).
- 在南印度的第三级护理中心进行 (2018年1月 - 2020年10月).
- 患者因年龄,BMI,石头特征,并发症和之前的手术而匹配.
主要成果:
- 与prone.com相比,supine PCNL显示了较短的手术时间和较低的疼痛得分.
- 穿孔方便在仰卧姿势中优越.
- 在卧卧的PCNL中观察到较高的石头残留量,而不是倾向于.
结论:
- 对于高风险患者来说,Supine PCNL是有利的.
- 在双边手术,复杂解剖或较大的石头负担时,倾向于使用PCNL.
- 位置选择会影响PCNL的运营效率和结果.
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