[小PCNL与RIRS治疗结石:前性随机对照研究]
N Akopyan G1, Kh Davronbekov Kh1, I Tursunova F1
1Research Institute of Urology and Human Reproductive Health, Department and Clinic of Urology, I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation, Moscow, Russia.
Urologiia (Moscow, Russia : 1999)
|November 20, 2024
概括
灵活的尿路管透镜 (URS) 和迷你穿皮利切除术 (迷你PCNL) 在2-3厘米大小的结石中提供了可比的无结石率. 灵活的URS导致住院时间缩短,并发症减少,提供了可行的替代治疗方法.
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
- 腎石病的治療方法
背景情况:
- 需要先进的结石治疗来提高疗效和安全性.
- 最少侵入性的方法旨在减少并发症和住院时间.
- 对于尺寸为2-3厘米的结石存在有限的比较研究.
研究的目的:
- 为了比较柔性尿路管透镜 (URS) 与微型穿皮瘤切除术 (迷你PCNL) 的疗效和安全性.
- 为了评估大小为2-3厘米的结石的治疗结果.
主要方法:
- 一项前性随机研究,涉及133名患有结石 (2-3厘米) 的患者.
- 灵活的URS (64名患者) 和迷你PCNL (69名患者) 的比较.
- 评估的无石头率,住院时间,手术时间和并发症发生率.
主要成果:
- 灵活的URS比迷你PCNL (48.3分钟) 有更长的操作时间 (69.9分钟).
- 与迷你PCNL (12.6%) 相比,灵活的URS显示出明显较低的并发症率 (6.2%).
- 灵活的URS (2天) 与迷你PCNL (5天) 的住院时间较短.
- 在3个月后,无石头率是可比的 (90.6%为URS,92.7%为迷你PCNL).
结论:
- 灵活的URS和迷你PCNL在2-3厘米的结石中显示出类似的石头去除成功率.
- 灵活的URS提供了减少住院和减少并发症的优势.
- 迷你PCNL在干预后3个月显示出略高的无结石率.
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