相关实验视频

Updated: Jul 18, 2025

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

Published on: September 13, 2022

超的导线或松的导线在皮肤穿透性瘤切除过程中?

Xiaobo Ding¹, Yuchuan Hou², Chunxi Wang²

¹Department of Radiology First Hospital of Jilin University Changchun China.

|August 28, 2023

概括

与超硬导线相比,软导线在穿皮瘤切除术 (PCNL) 期间的错误放置率更高. 仔细确认至关重要,以防止错误的导线放置导致的并发症.

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
医疗器械医疗器械

背景情况:

穿皮石切除术 (PCNL) 是一种常见的石切除手术.
在PCNL期间,导线的选择对于成功和安全的访问至关重要.
不同的导线,如松和超的类型,提供不同的处理特性.

研究的目的:

为了比较PCNL中使用软导线与超刚导线的结果.
确定在PCNL程序中选择特定导线类型的潜在指示.
分析导致导线安置故障的原因和条件.

主要方法:

从2017年到2021年对PCNL数据库的回顾性审查.
489名接受软导线 (A组) 的患者与269名接受超刚导线 (B组) 的患者进行了比较.
对手术前的人口统计,手术内参数和手术后并发症的分析,包括导线安置失败.

主要成果:

没有观察到手术前的人口统计或大多数手术内参数的显著差异.
术后并发症率 (Clavien-Dindo) 在两组之间是可比的和低的.
导线放置失败发生在水导线组中更频繁 (8.2%与4.0%相比,p=0.03),通常在周围脂肪中,有时涉及血管入口.

结论:

在PCNL过程中,松导线的错误放置明显比超导线更常见.
导线的灵活性可能导致无意的滑入周围组织或血管.
双重检查导线位置至关重要,以防止错误膨胀导致的严重并发症.

关键词:

内分泌学内分泌学结石结石是指结石的发生.洛奇的导线是指导导线.通过皮肤进行瘤切除术 (PCNL)超的导线是指导线.

更多相关视频

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

相关概念视频

Urinary Tract Calculi VI: Surgical Management

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...