在并发症患者中,皮肤穿透性利的安全性和有效性:一项为期3年的前性观察性研究
Tamer A Abouelgreed1, Hassan Ismail2, Sameh S Ali3
1Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo. dr_tamer_ali@yahoo.com.
概括
皮肤穿神经 (PCNL) 对于患有并发症的患者是有效的,尽管糖尿病患者的发烧和泄漏等并发症更高. 石头负担对手术内和术后并发症都有很大的影响.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 外科手术的结果
背景情况:
- 透皮结石 (PCNL) 是消除结石的一个关键程序.
- 评估与患者并发症相关的术后并发症对于优化手术结果至关重要.
研究的目的:
- 通过标准瘤管道评估PCNL的疗效和安全性.
- 专门分析患有并发症和没有并发症的患者的术后并发症.
主要方法:
- 一项前性干预研究包括从2019年1月到2022年11月接受PCNL的210名患者.
- 患者被分为两组:没有并发症的患者 (n=146) 和有并发症的患者 (n=64).
- 收集的数据包括并发症,石头负担,手术细节,并发症和无石头率.
主要成果:
- 整体并发症发生率为手术内18.8%,手术后29%.
- 在糖尿病患者中观察到更高的扩散和长时间泄漏率.
- 无石头率为60.5%,石头负担与并发症发生率有显著的相关性.
结论:
- PCNL是一种安全有效的结石治疗方法,即使在患有并发性医疗问题的患者中也是如此.
- 尽量减少手术内和手术后的并发症需要仔细选择患者和精细化手术技术.
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