一天病例皮肤穿神经切除术与传统住院手术的比较结果:系统性审查和元分析
Alejandro Calvillo-Ramirez1, Juan Carlos Angulo-Lozano2, Jessica Edith Acevedo-Rodriguez3
1Universidad Autonoma de Guadalajara, Facultad de Medicina, Zapopan, Jalisco, Mexico.
Urology
|September 23, 2024
概括
日常皮肤穿神经切除术 (PCNL) 是住院手术的安全有效替代方案,可减少血液损失,并发症和成本. 这种方法对于精心挑选的患者来说是可行的,而不会增加再入院风险.
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.
- 手术创新 在外科创新.
背景情况:
- 透皮石切除术 (PCNL) 是用于石切除的标准手术.
- 传统上,PCNL是作为住院手术进行的,需要住宿过夜.
- 日间病例PCNL的潜力可以在成本和患者方便方面带来好处.
研究的目的:
- 与住院PCNL相比,系统地审查和元分析日间病例PCNL的有效性和安全性.
- 评估关键结果,包括并发症,操作时间和成本.
主要方法:
- 进行了随机和非随机研究的系统审查和元分析.
- 包括比较日间病例PCNL与住院PCNL的研究,搜索数据截至2024年1月27日.
- 随机效应或固定效应模型用于数据分析,报告结果为OR,MD或SMD,CI为95%.
主要成果:
- 这项分析包括1项RCT和14项观察性研究 (1574名患者).
- 日间病例PCNL显著减少了血液流失,输血率,整体和轻微并发症,手术时间和总成本.
- 在重大并发症,无石头率,急救诊所访问或再接收率方面没有发现显著差异.
结论:
- 日间病例PCNL是为精心挑选的患者提供可行和安全的替代方案.
- 这种方法不会增加并发症或再接收风险.
- 日常PCNL可能会降低整体医疗保健成本.
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