消除人工水缩和创造人工水缩的比较,在斜斜的仰卧位置的皮肤性石切除术中
Yuanshan Guo1, Caipeng Qin2, Chao Li1
1Department of Urology, Shijiazhuang People's Hospital, Shijiazhuang, China.
Urologia internationalis
|September 15, 2024
概括
在斜卧姿势下,没有人工水缩的穿皮瘤切除术 (PCNL) 是安全有效的. 这种方法减少了手术时间和败血症发病率,而不是使用人工水.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 腎石病的管理方法
背景情况:
- 没有人造水解质的穿皮瘤切除术 (PCNL) 的疗效和安全性仍在争论中.
- 有限的研究存在于PCNL在斜卧姿势,没有人工水.
研究的目的:
- 为了比较两种方法在PCNL中制造人造水缩的有效性.
- 为了评估PCNL在斜卧姿势中有或没有人工水缩.
主要方法:
- 一项回顾性研究,对162名患者进行PCNL,在斜卧卧的位置.
- 患者被分为两组:自由人造水缩 (A组) 和人造水缩 (B组).
- 测量结果包括手术时间,石头清除和并发症率.
主要成果:
- 组A (没有人工水) 的手术时间和败血症发病率显著降低.
- 两组之间没有观察到石头清除率或其他并发症的显著差异.
- 穿孔通道建立的成功率和血液计数和功能中的术后变化是可比的.
结论:
- 对于经验丰富的外科医生来说,斜卧卧姿势的PCNL没有人工水解是一种可行的选择.
- 这种方法可以减少手术步骤,而不影响石头清除或增加并发症.
- 它提供了一种潜在的更有效的治疗结石的方法.
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