横卧的皮肤透皮神经利息切除术,住院时间少于24小时;单个中心体验
Morshed Salah1,2, Bela Tallai1, Tawiz Gul1,2
1Urology Section, Surgery Department, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Doha, Qatar.
Arab journal of urology
|January 11, 2024
概括
日间护理的皮肤穿神经切除术 (PCNL) 是对特定患者的安全和可行的选择,即使是那些患有大型结石的患者. 在24小时内提前出院不会增加并发症风险.
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
背景情况:
- 穿皮骨切除术 (PCNL) 是对结石的标准治疗方法.
- 早期出院的医院协议旨在提高效率和患者的治疗结果.
研究的目的:
- 评估日间护理的可行性和安全性,通过皮肤结核切除术 (PCNL) 及早出院 (24小时内).
- 为了比较日托PCNL与传统住院PCNL的结果.
主要方法:
- 在2020-2022年期间接受PCNL的85名患者的回顾性评估.
- 日托PCNL被定义为在24小时内出院;住院PCNL是至少在2天后出院.
- 分析患者的人口统计,石头特征,手术细节和术后并发症 (丁多-克拉维恩分类).
主要成果:
- 36名患者 (42.3%) 接受了日间护理PCNL,平均石头负担为465mm2,50%的Guy石头得分≥III.
- 在日托组中,无管PCNL显著高 (88.8%对37.5%,p < 0.0001).
- 在日间护理和住院组之间,术后并发症的发生率是可比的 (13.8%对22.4%,p = 0.08).
结论:
- 日间护理PCNL对于特定的患者来说是可行的和安全的,包括那些有很大的石头负担的患者.
- 在PCNL后24小时内提前出院似乎不会增加并发症或再入院率.
- 这种方法可以安全地实施,而不会影响患者的安全或增加风险.
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