在儿童中微型皮肤穿神经切除术的安全性和有效性
Waleed N Jaffal1, Hasanain F Hasan Al-Timimi2, Omar A Hassan3
1College of medicine, University of Anbar, Ramadi, Al Anbar, Iraq. med.waleed.aljaffal@uoanbar.edu.iq.
Urolithiasis
|October 14, 2024
概括
迷你透皮瘤切除术 (mini-PCNL) 是对儿科结石的安全有效治疗方法,其无结石率高,与成年人相比. 这种微创手术在儿童和成人患者中表现出可比的疗效和较低的并发症率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 儿科手术 儿科手术
- 腎石病的治療方法
背景情况:
- 儿童结石会带来独特的治疗挑战.
- 对于儿科尿病,越来越多地探索了像迷你PCNL这样的最小侵入性技术.
- 对小PCNL在儿科和成人群体中的疗效和安全性进行比较的数据有限.
研究的目的:
- 评估小规模皮肤穿神经切除术 (迷你PCNL) 对于儿科结石的安全性和有效性.
- 为了比较小PCNL在儿童和成年患者的结果.
- 评估经过小PCNL的儿科和成人队列之间的并发症率和无结石率.
主要方法:
- 一项前性病例对照研究,涉及77名儿科患者 (<15岁) 和70名患有结石>15毫米的成年患者 (18-60岁).
- 这两组都接受了迷你PCNL.
- 与之比较的关键结果包括无石头率,手术时间,血红蛋白下降,需要输血,术后发烧和二次干预 (ESWL或FURS).
主要成果:
- 在两组中都实现了高无结石率:儿童为87.01%,成人为88.57%,没有显著差异 (p=0.773).
- 在性别分布,石块大小/位置,手术时间,血红蛋白下降,输血率或需要二次干预方面没有观察到统计学上显著的差异.
- 轻微的并发症,如手术后发烧和每组一个肝损伤病例,都是相似的.
结论:
- 迷你透皮骨切除术 (迷你PCNL) 是儿童结石的安全有效治疗方法.
- 该程序显示了与成人患者相比,儿童的疗效和并发症概况相对较低.
- 迷你PCNL提供了一种可行的最小侵入性选择,用于管理儿科人口中复杂的结石.
更多相关视频
06:39Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
Published on: November 22, 2019
7.7K
07:11Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
Published on: July 19, 2018
15.2K
相关概念视频
01:25Urinary Tract Calculi VI: Surgical Management
2
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
2
01:26Kidney Transplant II: Surgical Procedure
2
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
2
01:30Urinary Tract Calculi III: Medical Management
2
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
2