在脊髓麻醉下下腰部无管上极PCNL:安全性,可行性和来自第三级内分泌中心的结果

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Nitesh Kumar¹, Bhaskar Somani²

¹Consultant Urological Surgeon, Ford Hospital and Research Centre, Patna, India.

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|May 31, 2024

概括

靠穿皮瘤切除术 (sPCNL) 提供了一种安全有效的方法,用于上极的访问,实现高的石头清除率. 这种技术即使对于复杂的病例也是可行的,在经验丰富的手中表现出良好的结果.

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
脊髓石切除术 (nephrolithotomy) 是一个切除术.

背景情况:

泌尿科医生越来越多地采用靠背穿透皮瘤切除术 (sPCNL).
有一种明显的转变,即倾向于PCNL,专门用于上极接入.
在sPCNL中评估上极接入的安全性和有效性至关重要.

研究的目的:

分析在Supine Percutaneous Nephrolithotomy (sPCNL) 期间上极接入的安全性和可行性.
评估与sPCNL上极接入相关的临床结果.

主要方法:

对从2021年1月到2022年12月在第三级护理中心接受sPCNL的患者的回顾性评估.
纳入标准:所有有完整数据的上极通道的案例.
使用Xlstat2021进行的数据分析.

主要成果:

包括50名上极接入的患者;32名单次接入,18名多次接入.
平均石块大小为23.88毫米,平均HU1093和平均操作持续时间为67.92分钟.
石头清除率为98.82%,所有手术都是无管的,整体并发症率为22% (主要是Clavien Dindo I/II).

结论:

Supine PCNL是一种可行且安全的方法来实现上极接入.
无管手术是可能的,但需要在经验丰富的内分泌病房进行.
这项研究支持sPCNL作为上极结石的可行选择.

关键词:

这是PCNL的PCNL.脏结石是什么意思脏结石是什么意思在脊柱上,脊柱骨干.卧卧卧卧的时间尿路透镜检查尿路透镜检查

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