倾向性得分匹配分析后期手术后的结果 坐卧式对比 倾向性皮肤内切除术
Roi Babaoff1,2, Gherman Creiderman1,2, Abd Elhalim Darawsha1,2
1Department of Urology, Rabin Medical Center, Petah Tikva 4937213, Israel.
Journal of clinical medicine
|May 11, 2024
概括
与易患PCNL相比,上皮穿透性瘤切除术 (PCNL) 提供了更短的手术时间,但与易患PCNL相比,输血风险更高. 在不同位置之间,整体并发症和无石头率相似.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
- 脊髓石切除术 (nephrolithotomy) 是一个切除术.
背景情况:
- 透皮石切除术 (PCNL) 是石切除的一个关键手术.
- 患者的位置 (仰卧或俯卧) 可以影响外科手术的结果.
- 在临床决策过程中,对卧姿和卧姿PCNL之间术后结果的比较数据至关重要.
研究的目的:
- 为了比较卧底和倾斜的皮肤穿神经切除术 (PCNL) 之间的术后结果.
- 在匹配的患者队伍中评估手术时间,并发症率和无石头率.
主要方法:
- 对517名患者进行卧卧或倾斜的PCNL的回顾性分析.
- 70名卧床患者与70名倾斜患者的倾向分数匹配 (1:1).
- 操作时间,术后并发症,系统复杂性和无石头率的比较.
主要成果:
- 苏平PCNL的操作时间显著缩短 (85.5分 vs 96.4分,p=0.012).
- 在整体并发症率 (8.6%与4.3%) 或无石头率 (74.3%与65.7%) 中没有发现显著差异.
- 在卧卧的PCNL组中,输血率明显更高 (p=0.023).
结论:
- 倾向性得分匹配调整为选择偏差在比较躺着和倾斜的PCNL.
- 苏平PCNL与手术时间缩短,但输血率增加有关.
- 在卧卧和倾斜的PCNL位置之间,外科手术后并发症和无结石率是可比的.
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