将一步倾斜的分腿位置与皮肤内切除术的传统倾斜位置进行比较:单中心回顾性研究
Ping Ao1, Ling Shu2, Qixing Tian3
1Department of Urology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, China. aoping@wnmc.edu.cn.
Urology journal
|September 20, 2023
概括
一步倾斜的分腿姿势为皮肤瘤切除术 (PCNL) 提供了更好的结果. 这种技术缩短了手术时间,增加了石头的去除率,减少了重复手术的必要性,在患者上部泌尿道结石.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术技巧 手术技巧
- 腎石病的管理方法
背景情况:
- 穿皮瘤切除术 (PCNL) 是用于上泌尿道结石的标准手术.
- 优化手术定位对于改善PCNL疗效和患者治疗结果至关重要.
研究的目的:
- 为了比较一种新型的一步倾斜分腿姿势与PCNL传统倾斜姿势的有效性和安全性.
- 为了评估两个手术位置之间的手术时间,石头清除率和并发症率.
主要方法:
- 对102名接受PCNL治疗的患者进行了回顾性分析,这些患者因上泌尿道结石而接受PCNL治疗.
- 一步倾斜分腿位置组 (n=39) 和传统倾斜位置组 (n=63) 的比较.
- 收集的数据包括手术时间,石头去除率,二次手术率和并发症.
主要成果:
- 一步倾向于分腿的组表现出明显更短的总操作时间.
- 在分腿组中观察到更高的石头去除率 (76.9%对比57.1%) 和更低的二次手术率 (10.3%对比28.6%).
- 在道建立,道大小,住院或并发症方面没有发现显著差异.
结论:
- 一步倾斜的分腿位置是PCNL的一种安全有效的替代方案.
- 这种技术提高了石头去除速度,减少了重新操作的需要.
- 与传统定位相比,它在管理上尿路结石方面具有优势.
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