在马的脏中进行上皮穿透性瘤切除术
Silvia Proietti1, Salvatore Di Pietro1, Mon Mon Oo1
1Department of Urology, European Training Centre of Endourology (ETCE), IRCCS San Raffaele Hospital, Milan, Italy.
Central European journal of urology
|September 30, 2024
概括
靠穿皮瘤切除术 (PCNL) 是对马 (HSK) 患者结石的安全有效治疗方法. 这项研究发现,在接受卧式PCNL.NL的HSK患者中,无结石率为72.9%,并发症最小.
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.
- 手术创新 在外科创新.
背景情况:
- 传统上,对于马 (HSK) 患者的皮肤穿神经切除术 (PCNL) 是以卧卧姿态进行的.
- 对于一般尿路结石病例的卧床PCNL的采用促使对其在HSK患者的应用进行了调查.
研究的目的:
- 在患有马 (HSK) 和尿病的患者中,评估卧床穿皮瘤切除术 (PCNL) 技术的安全性和有效性.
主要方法:
- 一项前性研究收集了35名HSK患者的数据,这些患者在2016年6月至2023年6月期间接受了48次卧床PCNL手术.
- 石块体积通过CT扫描进行评估. 没有石头的状态是通过术后非对比CT来确定的.
- 用克拉维恩-丁多系统对并发症进行分类,以无结石率 (SFR) 为主要终点.
主要成果:
- 这项研究包括35名患者 (48次手术),在1个月的随访后,获得了72.9%的无石头率.
- 在22.9%的手术中出现了I-II级的Clavien-Dindo并发症 (11/48).
- 一个病例 (2.1%) 导致了Clavien-Dindo IIIa级并发症.
结论:
- 苏平PCNL是一种安全有效的治疗选择,用于马 (HSK) 患者的尿病.
- 该程序在这个前性队列中显示出最小的发病率.
- 进一步的研究可能会巩固卧床PCNL作为HSK石头管理的标准方法.
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