在治疗患有复杂结石疾病的患者中,靠与倾向性皮肤穿性结石切除术
Krishnendu Maiti1, Kani Dayal Khare1, Dilip Kumar Pal1
1Department of Urology, IPGME&R and SSKM Hospital, Kolkata, West Bengal, India.
Urologia
|March 18, 2024
概括
在复杂的结石中,与容易发生的PCNL相比,靠穿皮nephrolithotomy (PCNL) 提供了显著更短的操作时间. 这两种方法的有效性和安全性相似,在术后并发症方面没有显著差异.
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
- 腎石病的管理方法
背景情况:
- 透皮骨切除术 (PCNL) 是复杂结石的关键手术.
- 倾斜和仰卧的位置都被利用,每一个都有潜在的优点和缺点.
- 评估手术结果,安全性和疗效对于优化患者护理至关重要.
研究的目的:
- 为了比较手术结果,安全性,无结石率,住院率和复杂结石的倾向性和仰卧PCNL之间的并发症率.
- 评估卧卧PCNL作为替代常规倾斜位置的疗效.
主要方法:
- 一项观察性研究涉及120名患有复杂结石的患者,持续了两年 (2021年7月至2023年6月).
- 患者被分为两组:60人接受修改的卧姿PCNL,60人接受标准的卧姿PCNL.
- 关键指标包括手术时间,穿刺次数,血液损失,无石头率,住院时间和并发症率.
主要成果:
- 与倾向PCNL (2.49小时) 相比,卧式PCNL (1.59小时) 的平均手术时间显著缩短 (p=0.001).
- 群体在年龄,性别比例,穿刺数量/大小,残留结石,输血,重复手术,胸部并发症,住院和术后发烧/疼痛方面是相似的.
- 两种位置之间没有观察到无石头率或整体并发症概况的统计学上显著差异.
结论:
- 与易受PCNL相比,supine PCNL与运行时间的统计显著减少有关.
- 靠PCNL通过避免患者倾斜的位置提供了优势.
- 该研究得出结论,卧式PCNL是复杂结石的同样有效和安全的治疗选择,与传统易受PCNL治疗一样.
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