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在异常脏中进行皮肤穿神经利息切除术

Naveed Ahmed Mahar¹, Harris Hassan Qureshi¹, Ghullam Mustafa¹

¹Department of Urology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

|December 8, 2023

概括

皮肤透神经切除术 (PCNL) 在具有解剖异常脏的患者中实现了70.77%的无结石率. 谨慎的手术技术对于这些复杂病例的成功结果至关重要.

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:

解剖学脏异常对结石治疗提出了独特的挑战.
穿皮瘤切除术 (PCNL) 是对结石的一种常见手术.
评估PCNL在异常脏中的疗效对于手术规划至关重要.

研究的目的:

评估PCNL后的无结石率 (SFR) 在脏有解剖异常的患者中.
确定PCNL在这个特定患者群体中的安全性和有效性.

主要方法:

进行了一项横截面研究,65名患者 (年龄在18-60岁) 被诊断出患有结石疾病和脏解剖异常.
收集的数据包括患者的人口统计,结石特征和异常的类型.
在PCNL两周后使用KUB超声波评估了无石头状态.

主要成果:

在患有脏异常的患者中,PCNL后的总体无石头率 (SFR) 为70.77% (46/65).
在29.23%的患者 (19/65) 中观察到残留碎片,大多数残留石头小于3厘米.
常见的解剖学变异包括扭转不良的脏 (46.2%),马的脏 (16.9%) 和部分双重系统 (16.9%).

结论:

PCNL是一种安全有效的结石治疗方法,用于治疗形异常脏患者.
为了达到令人满意的无石头率,需要精细的外科技巧和仔细的手术规划.
剩余碎片的进一步管理包括体外冲击波石 (ESWL) 或重复PCNL.

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