穿皮神经利息切除过程中肠道穿孔:诊断,管理和随访
Ziv Savin1,2, Amihay Nevo1,2, Mario Sofer1,2
1Department of Urology, Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
European urology open science
|July 11, 2024
概括
大型结石的皮肤穿神经切除术 (PCNL) 可以导致肠道穿孔. 早期诊断和成像是管理这种罕见并发症的关键,保守的治疗往往是成功的.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术并发症 手术并发症
背景情况:
- 穿皮骨切除术 (PCNL) 是对大型结石的主要治疗方法.
- 肠道穿孔是一种罕见但严重的并发症,与PCNL相关.
研究的目的:
- 讨论PCNL后肠道穿孔的诊断和管理.
- 建议这些并发症的护理和预防原则.
主要方法:
- 关于PCNL诱导的肠损伤的文献和临床经验的审查.
- 强调成像在指导皮肤穿接入和诊断方面的作用.
主要成果:
- 肠道穿孔需要及时诊断和适当的管理.
- 保守的管理策略显示出相对较高的成功率.
结论:
- 最佳的成像指导对于最小化PCNL期间内脏损伤的风险至关重要.
- 早期识别和保守治疗对于经历PCNL后肠道穿孔的患者的良好结果至关重要.
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