超微透皮利切除术与实体外冲击波石化术之间的比较研究,用于治疗埃及结石
Ahmed Ibrahim Radwan1, Ahmed Mohsen Ibrahim Saif1, Younan Ramsis Samir1
1Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Arab journal of urology
|January 5, 2024
概括
超微透皮利切除术 (PCNL) 和支架式冲击波化术 (SWL) 对长达2厘米的结石有效. 虽然PCNL的无结石率更高,但这两种手术的并发症率相似,需要相似的再处理.
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.
- 手术创新 在外科创新.
背景情况:
- 结石管理是一个重大的临床挑战.
- 最少的侵入性技术是结石治疗的首选.
- 对比超微透皮瘤切除术 (PCNL) 和支架式冲击波瘤切除术 (SWL) 对于优化患者的治疗结果至关重要.
研究的目的:
- 为了比较超微PCNL与支架SWL的疗效,安全性和结果,用于10-20毫米的结石.
- 评估两种治疗方式之间的手术时间,住院时间和并发症率.
- 评估在接受超微型PCNL或支架SWL的患者中无结石率和重新治疗的需要.
主要方法:
- 一项随机对照试验,涉及90名患有结石 (10-20毫米) 的患者.
- 患者被分配到超微型PCNL或带支架的SWL组 (每组45名患者).
- 收集的数据包括手术时间,住院时间,并发症 (血,发烧,输血),残留石头和重新治疗需求.
主要成果:
- 在超微型PCNL组中,没有石头的比率更高,但这种差异在统计学上并不显著 (P=0.316).
- 超微型PCNL组的手术时间和住院时间明显长于支架式SWL组 (P<0.001).
- 在手术后并发症 (如发烧,出血症或需要输血) 中,两组之间没有发现显著差异.
结论:
- 超微型PCNL和支架式SWL都是对小于2厘米的结石的可行的治疗选择,并发症率低.
- 石块大小是需要重新处理的重要预测因素.
- 建议进行进一步的研究,以根据两种干预措施的石头大小来比较无石头率.
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