非常瘦的患者在接受皮肤穿透性利切除术时,是否面临更高的并发症风险?
Priscila Kuriki Vieira Mota1, Daniel Beltrame Ferreira1, Rafael Felisberto Dias Florencio1
1Divisão de Urologia, Hospital Brigadeiro, São Paulo, SP, Brasil.
概括
经过皮肤性瘤切除术 (PCNL) 的非常瘦患者 (BMI <20 kg/m2) 与非瘦患者 (BMI ≥25 kg/m2) 的并发症率相似. 这项研究表明,PCNL对于非常瘦的个体来说是一种安全的程序.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 外科手术的结果
背景情况:
- 透皮石切除术 (PCNL) 是石去除的一个关键手术.
- 患者的特征,如体重指数 (BMI),可能会影响外科手术的结果.
- 极度瘦身对PCNL结果的影响需要进行具体的调查.
研究的目的:
- 评估身体质量指数非常低 (BMI <20 kg/m2) 与皮肤穿透性利切除术 (PCNL) 后的并发症率之间的关联.
主要方法:
- 一个匹配的病例控制研究利用了前性收集的PCNL数据库 (2011年6月-2021年10月).
- 患者被分为非常瘦 (BMI <20 kg/m2) 和非瘦 (BMI ≥25 kg/m2) 的两类.
- 匹配是根据男人的石头得分 (GSS) 进行的,比例为1:3.
主要成果:
- 该研究包括204名患者:51名非常瘦 (G<20) 和153名非瘦 (G≥25).
- 非常瘦人群的整体并发症率为17.6%,非瘦人群的整体并发症率为14.4% (p=0.653).
- 主要并发症率 (克拉维恩等级≥3) 分别为3.9%和5.8% (p=0.429),没有显著差异.
结论:
- 非常瘦的患者 (BMI <20 kg/m2) 与非瘦的患者 (BMI ≥25 kg/m2) 相比,PCNL后并发症的风险并不高.
- 不管BMI如何,PCNL似乎是非常瘦个体结石的安全和可行的治疗选择.
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