在第二次观察后,持续的残留结石的预测因素 皮肤穿透性神经质切除术
Jessica C Dai1, Hersh Trivedi2, Vineeth Kommidi3
1EvergreenHealth Urology & Urogynecology Care, Kirkland, Washington, USA.
Journal of endourology
|December 5, 2024
概括
即使在灵活镜检查后,残留的结石在约40%的患者中仍然存在. 双边石头和较大的残留石头负担预测穿皮利切除术和柔性镜术后的持久碎片.
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.
- 内分泌病学 在内分泌病学.
背景情况:
- 穿皮骨切除术 (PCNL) 是对结石的主要治疗方法.
- 在PCNL之后,残留碎片 (RF) 可能会持续存在,需要进一步干预.
- 其次看灵活镜 (SLFN) 经常用于处理PCNL后的RF.
研究的目的:
- 为了确定SLFN后持续射频的发病率,对于PCNL后的射频.
- 为了确定SLFN之后持续的RF的预测因素.
主要方法:
- 在PCNL (1/2016-5/2020) 后的RF中,对201个接受SLFN的脏单位进行了回顾性分析.
- 分析患者的人口统计,石头特征和外科手术期间的参数.
- 多变量逻辑回归 (MVA) 用于在3个月内在后续成像中确定持久碎片的预测因素.
主要成果:
- 在SLFN后,没有石头的比率为60.7%.
- 在SLFN中最大的中位射频尺寸为5毫米;中位累积射频石块尺寸为8毫米.
- MVA确定SLFN的双边手术前石头和更大的RF石头负担是SLFN后碎片的独立预测因素.
结论:
- 大约60%的PCNL后RF患者在SLFN后变得没有石头.
- 双边石头和较大的剩余石头负担与尽管进行了积极的处理,但仍然存在持久的碎片有关.
- 这些难以获得的碎片的临床意义和不良事件的风险仍然不确定.
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