在初始穿刺时偶尔遇到性尿液的患者中进行皮肤穿刺
Timucin Sipal1, Ibrahim Senocak2, Mirac Ataman2
1Kırıkkale Üniversitesi, Tıp Fakültesi, Kırıkkale-Ankara Yolu 7. Km.Yahşihan, Kırıkkale, Turkey. drtimucin@hotmail.com.
Urolithiasis
|August 19, 2023
概括
在患有性尿液的患者中,穿皮瘤切除术 (PCNL) 可能是安全有效的. 适当的技术和抗生素可以减少发烧和住院时间,即使有盆腔系统中的.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 手术感染 手术感染
背景情况:
- 皮肤通神经切除术 (PCNL) 期间的性尿液存在手术内感染和手术后败血症的风险.
- 在PCNL期间管理患有性尿液的患者需要仔细考虑手术时间和抗生素协议.
研究的目的:
- 评估PCNL在初步手术阶段呈现性尿液的患者的结果.
- 为了比较立即PCNL和推迟手术之间的术后感染并发症和恢复时间.
主要方法:
- 追溯分析39名患有性尿液,接受PCNL治疗的患者,共873名患者.
- 患者被分为两组:第一组 (nephrostomy管放置和推迟PCNL) 和第二组 (立即PCNL).
- 分析了手术前和手术后的变量,包括手术后第一,第三和第五天的发烧 (POD).
主要成果:
- 所有手术都是成功的,在随访期间没有任何败血症事件. 没有观察到手术前变量或感染液体率的显著差异.
- 术后发烧和轻度败血症的发病率在各组之间是可比的,尽管2组在POD1和POD3上发烧的发病率较高.
- 住院时间有显著差异 (p < 0.001),延迟的手术与更长的住院时间有关. 石块大小和操作时间与发烧相关.
结论:
- 在某些患有性尿液的患者中,可以安全地进行PCNL,前提是采用适当的手术技术和抗生素预防.
- 推迟PCNL有利于初始瘤管安置可能导致长时间住院治疗.
- 优化手术方法和抗生素管理对于患有盆腔的PCNL患者的良好结果至关重要.
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