一个随机对照试验,比较感染性并发症,使用mini perc用和不用吸用于小于3厘米的大小的结石
Niramya Pathak1, Sahil Agrawal1, Aditya Parikh1
1Urology Department, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India.
Urolithiasis
|November 22, 2023
概括
与标准的MPCNL相比,吸入辅助的微侵袭性皮肤穿透性腎石切除术 (MPCNL) 减少了手术时间,并提高了无结石率,用于3厘米以下的结石. 传染性并发症和整体并发症率在两种技术之间都是相似的.
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
- 脊髓石切除术 (nephrolithotomy) 是一个切除术.
背景情况:
- 最少侵入性皮肤穿神经切除术 (MPCNL) 是对结石的标准治疗方法.
- 优化MPCNL技术以改善结果和减少并发症是一个正在进行的研究领域.
研究的目的:
- 为了比较标准MPCNL和吸辅助MPCNL之间的传染性并发症,用于中型结石 (<3厘米).
- 评估二次结果,包括无石头率,整体并发症率和手术时间.
主要方法:
- 一项前性随机对照试验,涉及80名患有脏或近端尿路结石 (10-30毫米) 的患者.
- 患者被随机分为两组:标准的MPCNL (n=40) 和吸入辅助的MPCNL (n=40).
- 收集的数据包括传染性并发症,无石头率,整体并发症和手术时间.
主要成果:
- 与标准MPCNL组 (34.8分钟) 相比,吸入辅助MPCNL组 (26.5分钟) 的操作时间显著缩短 (p=0.021).
- 在吸血辅助的MPCNL组 (97.5%) 中,没有石头的比率高于标准的MPCNL组 (87.5%) (p=0.04).
- 感染并发症和整体并发症率在两组之间是可比的.
结论:
- 吸入辅助的MPCNL比传统的MPCNL提供了优势,包括减少操作时间和改善无石头率.
- 该技术与类似的感染和整体并发症率有关,使其成为治疗中型结石的可行替代方案.
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