在接受迷你PCNL治疗的患者中,高液体吸收的危险因素:单中心前性研究
Luyang Zhang1, Enguang Yang1, Suoshi Jing1
1Institute of Urology, Key Laboratory of Gansu Province for Urological Diseases, Lanzhou University Second Hospital, Gansu Nephro-Urological Clinical Center, Lanzhou, 730030, China.
World journal of urology
|March 2, 2024
概括
更大的结石,更高的STONE. 较低的分数和较长的灌时间增加了迷你透皮囊 (迷你PCNL) 期间的液体吸收,可能导致发烧等并发症.
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.
- 手术技术 手术技术
背景情况:
- 影响迷你穿皮性神经 (迷你PCNL) 术内液体吸收的因素尚不清楚.
- 了解这些因素对于优化患者安全和程序期间的结果至关重要.
研究的目的:
- 识别和分析与迷你PCNL期间灌液体吸收相关的关键因素.
- 为了确定液体吸收和患者/程序变量之间的相关性.
主要方法:
- 一项前性研究涉及94名接受迷你PCNL的患者.
- 使用内镜外科监测系统 (ESMS) 来量化液体吸收.
- 记录的变量包括灌时间,流体体积,石材特性 (大小,负载),S.T.O.N.E. 分数,以及手术后的结果.
主要成果:
- 高液体吸收与血清肌素的增加以及手术后发烧和SIRS的更高率相关.
- 石块大小的显著差异,石块负荷 (≥800毫米2),S.T.O.N.E. 在低吸收和高吸收组之间观察到分数 (> 8),液体体积 (> 18,596 mL),灌时间和 perfusion 速率.
结论:
- 在迷你PCNL中,手术期间的液体吸收受到石头负担,石头大小,S.T.O.N.E.E.的影响. 评分,使用的液体总量,灌时间和 perfusion 速率.
- 这些已识别的风险因素对于预测和潜在地减轻小型PCNL期间的液体吸收至关重要.
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