预测性因素的延迟出血后,皮肤透过的nephrolithotomy需要血管栓塞
Dariush Irani1, Abdolreza Haghpanah1,2, Alireza Rasekhi3
1Endourology Ward, Department of Urology Shiraz University of Medical Sciences Shiraz Iran.
BJUI compass
|January 5, 2024
概括
糖尿病病史和脏异常预测透皮利切除术 (PCNL) 后的延迟出血. 这些因素并没有区分动脉静脉 (AVF) 或伪动脉瘤 (PA) 的并发症.
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.
- 手术并发症 手术并发症
背景情况:
- 皮肤穿术 (PCNL) 后延迟出血,通常是由于动脉静脉 (AVF) 或伪动脉瘤 (PA) 引起的,是一个重大问题.
- 确定这些并发症的预测因素对于患者管理至关重要.
研究的目的:
- 为了调查预测延迟出血的因素后PCNL由AVF或PA引起.
- 为了比较AVF和PA之间的预测因素.
主要方法:
- 一项病例控制研究涉及72名PCNL后出血患者 (AVF/PA) 和216名没有并发症的对照.
- 从2015年4月至2018年4月期间执行的5077个PCNL程序中收集的数据.
- 用于确定预测因素的回归分析.
主要成果:
- 糖尿病史 (OR:2.799) 和脏异常存在 (OR:2.929) 与延迟PCNL后出血有显著联系.
- 在比较AVF和PA时,没有发现预测因素的显著差异.
结论:
- 糖尿病和脏异常是PCNL后延迟出血的关键预测因素.
- 目前的数据不支持在PCNL后出血中区分AVF与PA的预测因素.
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