治疗结石的针刺辅助内镜手术:从大体积石中心进行前性随机对照研究
Bo Xiao1, Xiaolin Diao2, Xue Zeng3
1Department of Urology, Tsinghua University Affiliated Beijing Tsinghua Changgung Hospital, Tsinghua University Clinical Institute, Beijing, China.
Urologia internationalis
|October 26, 2023
概括
针穿皮辅助内镜手术 (NAES) 提供了与鹿角结石相比较的无结石率. 与传统方法相比,这种技术表明减少了流血,住院,疼痛和严重并发症.
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
- 腎石病的治療方法
背景情况:
- 斯塔霍恩结石是一个重大的治疗挑战.
- 传统的外科手术方法可能涉及多个接入点和相关的疾病.
研究的目的:
- 为了评估针穿皮辅助内镜手术 (NAES) 治疗鹿角结石的疗效和安全性.
- 在前性随机对照研究中,将NAES与传统的标准访问技术进行比较.
主要方法:
- 219名患有鹿角结石的患者被随机分为两组.
- 组A:传统的多重标准访问. 组B: 剩余石头使用NAES的单一标准访问.
- 所有手术都是以超声波为指导,监测石块大小,手术时间,血液流失,疼痛和并发症.
主要成果:
- 无石头率在各组之间是可比的 (75.9%与74.8%).
- 针穿皮辅助内镜手术 (NAES) 组的手术时间显著缩短 (p=0.02).
- NAES组的血液流失较少 (p=0.01),住院时间较短 (p=0.04),疼痛得分较低 (p=0.04),严重并发症较少 (p=0.03).
结论:
- 纳斯是一种安全有效的替代品,用于鹿角结石.
- NAES显示了手术后结果的改善,包括减少并发症和恢复时间.
- 没有石头的NAES的有效性与传统方法相美.
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