国际尿病联盟 (IAU) 在小型化皮肤穿神经切除术上达成共识
Guo-Hua Zeng1, Wen Zhong2, Giorgio Mazzon3
1Department of Urology and Guangdong Key Laboratory of Urology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510230, China. gzgyzgh@vip.sina.com.
Military Medical Research
|October 28, 2024
概括
迷你透皮骨切除术 (mPCNL) 为结石提供了比标准PCNL更安全,更有效的替代方案. 这种专家共识为改善mPCNL采用和患者结果提供了临床框架.
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
- 脊髓石切除术 (nephrolithotomy) 是一个切除术.
背景情况:
- 与标准PCNL (sPCNL) 相比,微型皮肤穿神经切除术 (mPCNL) 显示出降低并发症的潜力.
- 由于缺乏关于外科手术期间管理和程序技术的共识,mPCNL的广泛采用受到阻碍.
研究的目的:
- 制定一个专家共识文件,为mPCNL程序提供临床框架.
- 为了解决阻碍mPCNL采用的争议和局限性.
主要方法:
- 系统的文献审查,以确定研究差距.
- 结构化问卷调查和两轮修改后的Delphi调查,涉及64名国际专家.
- 在线小组会议以最终确定基于证据的评论.
主要成果:
- 在关于mPCNL的30个关键问题上达成共识,涉及一般信息,术前工作,手术技术和术后护理.
- 在专家讨论后,专业陈述提供了28个额外的问题.
- mPCNL (通道<18 Fr) 是成人和儿科上部泌尿道结石的可行方法.
结论:
- 与sPCNL相比,mPCNL提供了优势,包括减少出血,减少瘤管,减少疼痛和更短的住院时间.
- 提出的技术作为一个全面的指南,以优化程序理解和mPCNL患者的结果.
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