两家中心在儿科上和易受影响的小型化皮肤透膜利切除术方面的经验与倾向匹配分析进行比较
Ali Sezer1, Bilge Turedi1, Rasim Guzel2
1Pediatric Urology Clinic, Konya City Hospital, Konya, Turkey.
Journal of endourology
|November 14, 2023
概括
与卧卧姿相比,卧卧式迷你穿皮瘤切除术 (m-PNL) 提供了可比的无结石率和少于儿科结石并发症. 这种微创方法是治疗复杂儿科结石的可行替代方案.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 腎石病的治療方法
背景情况:
- 穿皮骨切除术 (PNL) 是儿童大或复杂结石的标准治疗方法.
- 从成人手术中改编的Supine PNL在儿科病例中越来越多地使用.
- 在儿童中,卧背与倾斜迷你PNL (m-PNL) 的比较数据有限.
研究的目的:
- 为了比较卧底和倾斜的迷你PNL (m-PNL) 治疗儿科患者大/复杂结石的结果.
- 评估两种技术的操作参数,成功率和并发症概况.
- 评估卧床m-PNL的可行性,作为儿童易患m-PNL的替代方案.
主要方法:
- 一项涉及42名患有大/复杂结石的儿科患者 (21人卧床,21人倾斜m-PNL) 的比较研究.
- 根据石块大小,数量,位置,水和年龄,患者与1:1匹配.
- 分析了手术时间,光镜时间,无石头率和并发症.
主要成果:
- 服用supine m-PNL的手术时间显著缩短 (65.7分钟而不是86.9分钟),光镜时间更短.
- 在仰卧组中,无管PNL的发生率更高 (86.7%vs. 52%).
- 没有石头的发病率相似 (90.5%躺卧 vs 85.7%倾斜),两组都出现了轻微的并发症.
结论:
- 苏平迷你PNL是一种安全有效的小儿结石微创治疗方法,与易受影响的方法相似.
- 卧卧姿势在减少操作时间和光学暴露方面提供了潜在的优势.
- 苏平m-PNL代表了一种可行且成熟的替代方案,用于儿科腎病的管理.
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