一个比较研究,在皮肤穿透性nephrolithotomy的一步扩张和连续扩张技术之间的比较研究
Naveen Kumar Gupta1, Noushim Akram Huda1, Dilip Kumar Pal1
1Department of Urology, IPGME&R and SSKM Hospital, Kolkata, West Bengal, India.
Urologia
|September 30, 2023
概括
与连续扩张相比,透性利切除 (PCNL) 的单阶段扩张提供了较短的接入时间和辐射暴露. 这两种方法在治疗结石方面都是安全有效的,并有相似的并发症率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
背景情况:
- 穿皮骨切除术 (PCNL) 是针对大型结石 (>2厘米) 的首要治疗方法,其病率较低,恢复速度更快.
- 创建 nefrostomy 访问是 PCNL 中的一个关键步骤,可以通过单步或多步串行扩张实现.
研究的目的:
- 为了比较PCNL中单阶段与连续扩张技术的疗效.
- 为了评估接入时间,光镜时间,输血率,住院时间和并发症的差异.
主要方法:
- 一项前性研究,涉及100名接受PCNL的患者.
- 50名患者接受了单步扩张,50名患者接受了连续扩张.
- 分析包括人口统计数据,接入/光镜时间,血液流失,住院和并发症.
主要成果:
- 患者的人口统计和石头特征在两组之间是可比的.
- 单步扩张显著减少了平均通道扩张时间和光镜时间.
- 输血率和术后并发症率没有显著差异.
结论:
- 单阶段和串行扩张对于PCNL访问来说都是安全有效的.
- 单阶段扩张提供了减少脏接入时间和减少辐射暴露的优势.
- 在这两种方法之间,血液损失或住院时间没有统计学上显著的差异.
相关概念视频
Urinary Tract Calculi VI: Surgical Management
8
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...
8
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
41
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
41
Imaging Studies VII: Vascular Imaging
15
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
15
Urologic Endoscopic Procedure: Cystoscopic Examination
31
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
31


