超声导向皮肤穿透性神经质切除术 (PCNL) 在体重指数升高的患者中的成功率:一项比较性研究
Dolev Perez1, Binyamin B Neeman2, David Dotan2
1Department of Urology, Shaare Zedek Medical Center, P.O.B 3235, 91031, Jerusalem, Israel. drdolevperez@gmail.com.
Urolithiasis
|September 9, 2023
概括
超声导向皮肤穿神经切除术 (PCNL) 是安全有效的治疗结石,无论患者的体重指数 (BMI). 更高的BMI不会阻碍成功率或增加并发症,提供无辐射的替代方案.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗成像医学成像
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 穿皮石切除术 (PCNL) 是20毫米以上结石的黄金标准.
- 超声指导在PCNL中比光学更受青,因为它提高了安全性和有效性.
- 较高的身体质量指数 (BMI) 可能会在超声波指导的脏访问中带来挑战.
研究的目的:
- 为了前性地比较正常与增加的BMI患者的超声波引导PCNL的结果.
- 根据BMI评估超声波引导PCNL的安全性,有效性和并发症率.
- 评估BMI对无结石率和术后结果的影响.
主要方法:
- 在2020-2022年期间,对98名接受超声波引导PCNL的患者进行前性分析.
- 患者被分为两个组:BMI<30 (非肥胖) 和BMI>30 (肥胖).
- 收集和分析了人口统计,术后和随访数据,包括石头特征,手术细节,失血,并发症和无石头状态.
主要成果:
- 肥胖和非肥胖群体之间没有观察到关于石块体积,密度,访问位置,手术持续时间,血液损失或实验室变化的显著差异.
- 在随访时,肥胖组的无石头率为87.76%,而非肥胖组的73.47% (P=0.1238).
- 组之间并发症率 (Clavien-Dindo分类) 是可比的,肥胖患者的发病率没有增加.
结论:
- 较高的BMI不是影响超声波引导PCNL成功或安全的重要因素.
- 超声导向PCNL是肥胖患者的安全有效的程序,其结果与正常体重患者相似.
- 这种技术为结石治疗提供了有价值的,节约辐射的替代方案,即使是在BMI升高的患者中也是如此.
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