在急性上泌尿道卡尔库利阻塞与水缩和感染中进行微皮切除术以干预急性上泌尿道卡尔库利阻塞
Zhebin Gao1, Huayang Zhang1, Fei Zhang2
1Department of Urology, Chongqing Western Hospital, Chongqing, China.
Scientific reports
|October 29, 2024
概括
迷你穿皮瘤切除术 (MPCN),微穿皮瘤切除术 (MicroPCN) 和逆行尿道支架 (RUS) 对于上泌尿道结石阻塞是安全的. 微PCN为患有复杂尿路化症的重症患者提供了优势.
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.
- 干预性放射学 干预性放射学
背景情况:
- 急性上泌尿道结石 (UUTC) 阻塞与水缩和感染是一个重要的临床挑战.
- 评估最少的侵入性治疗选择对于优化患者的治疗结果和资源利用至关重要.
研究的目的:
- 为了比较迷你穿皮瘤切除术 (MPCN),微穿皮瘤切除术 (MicroPCN) 和逆行尿道支架 (RUS) 的疗效和优势.
- 为了验证MicroPCN在治疗急性UUTC阻塞与水和感染时的安全性和临床适用性.
主要方法:
- 从2019年5月至2023年5月期间接受治疗的64名患者的临床流行病学数据的回顾性分析.
- 患者被分为MPCN (20),MicroPCN (13) 和RUS (31) 组.
- 在干预期间的参数,感染指标,并发症,营养状况,凝血功能和临床结果的比较.
主要成果:
- 两组之间没有观察到温度,感染指标或并发症的显著差异.
- 微PCN和RUS群体的营养状况和凝血功能较差,CRP高,抗生素使用较强.
- 在MPCN和MicroPCN组中,住院时间较长,结石较大,水缩症更严重;MicroPCN患者的整体状况最差.
结论:
- MPCN,MicroPCN和RUS是急性UUTC阻塞感染的安全有效的治疗方法.
- 微PCN对患有严重疾病或复杂尿路质症的患者具有特别的优势,尽管住院时间较长,体积较大.
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