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综合分析了与皮肤穿透性脑膜切除术期间显著失血相关的因素
Raymond Khargi1, Jacob N Bamberger1,2, Anna Ricapito1,3
1Department of Urology, Icahn School of Medicine at Mount Sinai New York, NY, USA.
American journal of clinical and experimental urology
|November 9, 2023
概括
复杂结石切除 (PCNL) 涉及显著的失血 (SBL) 风险因素,包括更大的石头体积,多次访问和更长的手术时间. 这些因素通常可以在手术前预测.
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.
- 手术瘤学手术瘤学
背景情况:
- 透皮石切除术 (PCNL) 是石去除的一个关键手术.
- 显著的失血 (SBL) 是PCNL期间的潜在并发症.
- 识别SBL的风险因素对于患者安全和手术规划至关重要.
研究的目的:
- 为了调查与PCNL期间严重失血相关的风险因素.
- 在第三级护理环境中分析与SBL相关的患者和手术变量.
主要方法:
- 对695个PCNL程序 (2014-2022) 的回顾性分析.
- 患者分为SBL (n=102) 和无显著血损失 (NSBL) 组.
- 评估包括石材特性,操作细节和STONE在内的因素. 一个比分,一个分数.
主要成果:
- SBL组与更高的访问次数,容易定位和光镜引导访问相关.
- 完整的鹿角石在SBL组中更为普遍.
- 对于SBL的独立风险因素包括石头体积,访问次数和操作时间.
结论:
- 手术复杂性,特别是石头体积,入口次数和手术时间,增加了PCNL期间SBL的风险.
- 在手术前估计石块的体积和需要多次访问的需要,有助于风险评估.
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