通过注射甲基蓝的迷你皮肤穿神经管道检索的初步经验
Lin Xiong1, Kristine J S Kwan2,3, Xiang Xu1
1Department of Urology, The University of Hong Kong - Shenzhen Hospital, Shenzhen, China.
Translational andrology and urology
|June 10, 2024
概括
迷你穿皮瘤切除术 (PCNL) 期间损失瘤切除道发生在2.2%的病例中. 甲蓝注射和导线插入可以帮助恢复丢失的通道,最大限度地减少并发症.
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
背景情况:
- 穿皮骨切除术 (PCNL) 是大型结石的标准治疗方法.
- 迷你PCNL使用较小的频道,增加了频道丢失的风险.
- 丢失的通道可能会导致新的穿孔和出血并发症.
研究的目的:
- 为了确定在迷你PCNL期间瘤道损失的发生率.
- 为了评估甲蓝导向检索的有效性.
- 为了确定通道损失和相关并发症的原因.
主要方法:
- 对1056个小型PCNL程序的回顾性审查.
- 鉴定了23例患有瘤道损失的病例.
- 甲蓝注射和尿路导管导线放置用于取回.
主要成果:
- 频道损失的发生率为2.2% (23/1,056).
- 在5分钟内,通道检索的技术成功率为78.3% (18/23).
- 轻微的水缩和阴囊阻塞是损失的主要原因.
- 三条通道不可挽回地丢失,需要重新刺穿; 2名患者出血.
结论:
- 瘤道损失是迷你PCNL的罕见但显著的并发症.
- 甲蓝导向检索是一种有效的道恢复技术.
- 快速识别和检索将重复程序和并发症的需要降至最低.
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