膀结石手术中的三种技术的比较:哪种技术更有效和更安全?
1Department of Urology, Medical Park, Hospital Urology Clinic, Tokat/, Turkey.
Nigerian journal of clinical practice
|August 28, 2023
概括
皮肤透囊 (PCCL) 与输尿管囊 (TUCL) 和Ho:YAG激光石相比,为膀结石提供更快的手术时间. 所有方法都取得了成功,但PCCL的运行时间显著降低.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术技术 手术技术
- 最少侵入性手术的方法
背景情况:
- 膀结石可能由各种原因引起,通常需要手术干预.
- 对比不同的外科手术技术对于优化患者的治疗结果和程序效率至关重要.
- 大型膀结石 (大于2厘米) 存在独特的外科手术挑战.
研究的目的:
- 为了比较三个膀结石手术技术的疗效和安全性:皮肤穿透性囊性结石透症 (PCCL),通过尿道的囊性结石透症 (TUCL) 和Ho:YAG激光石透症.
- 评估不同手术的手术时间,并发症率和患者报告的疼痛得分.
- 为了确定治疗大膀结石的最有效和最有效的方法.
主要方法:
- 一项回顾性研究涉及121名膀结石大于2厘米的患者.
- 根据使用的外科手术技术,患者被分为三组:TUCL (n=40),PCCL (n=44) 和Ho:YAG激光石 (n=30).
- 评估的结果包括石头大小,手术时间,导管切除时间,出院时间,并发症和视觉疼痛量表 (VPS) 评分.
主要成果:
- 这三种技术在膀结石手术中都显示出高的成功率.
- 与TUCL和Ho:YAG激光光相比,皮囊 (PCCL) 的手术时间在统计学上显著减少.
- 与其他方法相比,Ho:YAG激光石术导致视觉疼痛量表 (VPS) 的得分显著降低. 在TUCL之后发生了两个尿道狭窄的病例.
结论:
- 虽然这三种方法都对膀结石手术有效,但PCCL在减少手术时间方面具有显著的优势.
- 在PCCL期间使用上管可能会促进膀排水,特别是在良性前列腺增生症 (BPH) 患者中,这可能会提高安全性和效率.
- 由于其效率,PCCL可能是大膀结石的首选方法,特别是当与前列腺穿尿管切除 (TUR-P) 等手术联合管理时.
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