手术延迟增加了外科手术期间的输血率在皮肤透神经切除术中
Yusuf Sahin1, Mehmet Yilmaz1, Enes Kilic2
1Department of Urology, University of Health Sciences Türkiye, Bagcilar Training and Research Hospital, Istanbul, Türkiye.
概括
从诊断到治疗的时间延长 (TDT) 对于经过皮肤透神经切除术 (PNL) 的结石,与外科手术期间输血 (PBT) 的需求增加有关. 然而,TDT并没有显著影响患者的无结石率.
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) 是一種醫學專業.
- 外科手术的结果
背景情况:
- 透皮石切除术 (PNL) 是一种常见的石切除手术.
- 从诊断到治疗 (TDT) 的时间对PNL结果的影响尚未完全理解.
研究的目的:
- 研究延长TDT与手术结果之间的关联,特别是PNL患者的无石头率和外科术后并发症.
主要方法:
- 这是一项对544名接受PNL.患者的回顾性研究.
- 收集的数据包括临床,人口统计学,放射学和外科外科信息.
- 分析的重点是TDT和无结石率之间的相关性,以及外科手术期间输血 (PBT).
主要成果:
- 在较长的TDT和需要PBT的可能性增加之间发现了统计学上显著的相关性 (p=0.022).
- 在TDT和无石头率 (p>0.05) 之间没有观察到显著的相关性.
- 90.5天的TDT切断预测了需要PBT的59.3%的灵敏度和60%的特异性.
结论:
- 超过90.5天的长期TDT可能会增加PNL患者术后输血的风险.
- 需要进一步的大规模前性研究来证实这些发现,并充分阐明TDT对PNL结果的影响.
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