在2岁以下的婴儿中,穿皮瘤切除是否有效和安全? 通过皮肤进行的迷你标准nephrolithotomy的比较
Nebil Akdogan1, Mutlu Deger1, Ismail Onder Yilmaz2
1Department of Urology, Faculty of Medicine, Çukurova University, 01250, Adana, Turkey.
Journal of pediatric urology
|February 2, 2024
概括
在婴儿中,单通道皮肤穿神经切除术 (STPNC) 比多通道PCNL更有效,显示手术时间缩短和尿液泄漏时间延长. 这两种方法在儿科结石治疗中都是安全有效的.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 脊髓石切割的技术 脊髓石切割的技术
- 最少侵入性的手术
背景情况:
- 穿皮骨切除术 (PCNL) 是儿童结石的关键治疗方法.
- 婴儿尿病带来了独特的外科手术挑战.
- 在婴儿中比较不同的PCNL通道方法对于优化结果至关重要.
研究的目的:
- 为了比较单通道 (SPCNL) 和多通道 (MPCNL) 在两岁以下的婴儿中的皮肤通瘤切除术.
- 评估手术和术后结果,无石头率和并发症.
- 确定每个PCNL方法在这个儿科群体中的安全性和有效性.
主要方法:
- 对接受PCNL的163名婴儿 (<2岁) 的回顾性分析.
- 患者分为SPCNL (>22 Fr通道) 和MPCNL (≤22 Fr通道) 组.
- 操作时间的比较,无石头率,并发症和住院时间的比较.
主要成果:
- SPCNL的运行时间显著缩短 (62.8分 vs 74.8分).
- 没有石头的比率很高和相似 (90.8%的SPCNL和89%的MPCNL).
- 长时间的尿泄漏在SPCNL显著降低 (1.1%对8.2%).
结论:
- SPCNL是婴儿的有效和可靠的方法,在操作时间和减少尿液泄漏方面提供了优势.
- 虽然MPCNL的使用随着SPCNL的进步而减少,但这两种技术对于合适的儿科患者都是可行的.
- 婴儿PCNL是一种安全有效的治疗方式,尽管它与成人程序不同.
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