儿科患者群体中迷你与标准皮肤穿透性利切除术:一项随机对照试验
Naveen Kumar1, Priyank Yadav2, Vinay N Kaushik3
1Department of Urology, All India Institute of Medical Sciences, Patna, 801507, Bihar, India.
Journal of pediatric urology
|September 4, 2023
概括
迷你皮肤穿神经切除术 (mPCNL) 在儿童中提供了与标准PCNL相比的无结石率,减少了血液流失和并发症. 然而,mPCNL需要更长的操作时间.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 腎石病的管理方法
- 最少侵入性的手术
背景情况:
- 迷你皮肤穿神经切除术 (mPCNL) 越来越多地用于成年人结石,提供较低的并发症率.
- 对mPCNL在儿科患者的疗效和安全性的证据有限.
研究的目的:
- 为了比较小PCNL (mPCNL) 与儿童 (<18岁) 的标准PCNL (sPCNL).
- 为了评估这两种手术的安全性,疗效和无结石率 (SFR).
主要方法:
- 一项随机对照试验,涉及50名患有结石的儿科患者.
- 患者被分为两个组:mPCNL (外大小为16.5 Fr) 和sPCNL (外大小为26 Fr).
- 结果包括SFR,血红蛋白下降,手术时间,并发症,疼痛,止痛,瘤切除部位泄漏和住院.
主要成果:
- 没有石头的比率是可比的:mPCNL的88%,sPCNL的92%.
- mPCNL显示血红蛋白下降显著减少 (1.1 g/dL与1.7 g/dL).
- mPCNL的并发症率较低 (I级),但手术时间较长;疼痛评分也较低.
结论:
- 迷你PCNL是儿科结石的安全和有效选择,产生相当于标准PCNL的石头清除.
- 尽管手术时间较长,mPCNL在减少血流和减少并发症方面表现出优势.
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