穿皮瘤切除术的并发症:来自第三级护理中心的经验
Udham Singh1, Vivek K Singh1, Vishwajeet Singh1
1Urology, King George's Medical University, Lucknow, IND.
Cureus
|October 11, 2024
概括
通过皮肤进行结石切除术 (PCNL) 患结石的并发症率为21.9%,大多是轻微的. 预测并发症的因素包括较大的石头负担,水和较长的手术时间.
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.
- 手术并发症 手术并发症
背景情况:
- 结石 (结石) 在全球越来越普遍.
- 穿皮骨切除术 (PCNL) 是对结石的一种关键的微创治疗方法.
- 虽然有效,但PCNL具有潜在的手术内,早期和晚期术后并发症.
研究的目的:
- 评估机构对PCNL的经验.
- 将PCNL并发症分为手术内,手术后早期和晚期的事件.
- 为了确定与PCNL并发症相关的预测因素.
主要方法:
- 一个单一中心前性观察性研究包括201名接受PCNL的成年患者.
- 从2021年6月到2022年10月收集的数据.
- 统计分析确定了与更高并发症率相关的因素 (p<0.05).
主要成果:
- 整体并发症率为21.9%,其中16.4%为轻症 (克拉维恩等级1-2) 和5.5%为重症 (克拉维恩等级>3).
- 没有观察到死亡率.
- 更高并发症的预测因素包括女性性别,石头负担>3厘米,多个石头,水,最近的尿路感染,更长的手术时间 (>91分钟),高的盖伊石头得分 (GSS III-IV),鹿角结石和多次刺穿.
结论:
- 大多数PCNL并发症都是轻微的,可以管理的.
- PCNL并发症的重要预测因素包括石头负担,水,手术时间,GSS和多次刺穿.
- 流血和出血是最常见的手术内和早期术后并发症,分别.
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