与标准技术进行完全无管和无管的皮肤透气利切除术的比较
F H Siddique1, M I Ali, M A Amin
1Dr Md Fazlul Haq Siddique, Associate Professor, Department of Urology, Mymensingh Medical College (MMC), Mymensingh, Bangladesh;
Mymensingh medical journal : MMJ
|October 1, 2024
概括
无管和完全无管的皮肤穿神经瘤切除术 (PCNL) 是标准PCNL的安全有效替代方案,可减少疼痛,止痛需要和住院时间. 这些微创手术改善了患者的结果和满意度.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 腎石病的管理方法
背景情况:
- 传统的穿皮瘤切除术 (PCNL) 涉及瘤切除管和用于排水的双J (DJ) 支架.
- 无管和完全无管的PCNL技术旨在消除或减少对这些排水方法的需求.
研究的目的:
- 与标准PCNL相比,评估无管和完全无管PCNL的可行性,安全性和有效性.
- 评估患者的结果,包括手术时间,疼痛,止痛药需求,住院和并发症率.
主要方法:
- 从2022年9月到2023年9月接受PCNL的156名患者的回顾性分析.
- 患者被分为三个组:标准PCNL (n=78),无管PCNL (n=46) 和完全无管PCNL (n=32).
- 在各组中对手术前特征,手术参数,石头清除率和并发症率进行比较.
主要成果:
- 无管和完全无管的PCNL组的手术时间,止痛药需求和住院时间 (p<0.05) 显著降低 (p<0.05).
- 在平均石头大小,无石头状态或重大并发症方面没有观察到显著差异.
- 标准PCNL的整体并发症率为14.2%,无管PCNL为8.7%,完全无管PCNL为9.4%.
结论:
- 无管和完全无管的PCNL是安全有效的,即使是复杂的石头负载.
- 这些技术导致疼痛减少,手术缩短,住院时间减少,提高成本效益和患者满意度.
- 建议进行进一步的研究,以支持在临床实践中更广泛地采用.
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