通过单独使用气动石术和与超声波石术结合使用皮肤透膜石术的结果
M S Rahaman1, M H R Bhuiyan, P P Chowdhury
1Dr Md Saidur Rahaman, Registrar, Department of Urology, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh;
Mymensingh medical journal : MMJ
|December 31, 2024
概括
与单独的气动性石术相比,结合性石术显著减少了结石外皮神经切除术 (PCNL) 期间的手术时间和血液损失. 这种先进的技术在PCNL程序中提供了更高的效率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 腎石病的治療方法
背景情况:
- 穿皮骨切除术 (PCNL) 是治疗大型结石的主要治疗方法.
- 内镜技术和石化片技术的进步提高了PCNL的成功率,并减少了并发症.
- 新的石灰石方法提高了石材碎片化和清理效率.
研究的目的:
- 为了比较PCNL的结果,使用气动力托术与组合的气动和超声波力托术.
- 在手术时间,血液损失和石头清除方面评估不同石术方法的疗效.
- 确定PCNL中,结合式石术是否比单独的气动石术具有优势.
主要方法:
- 一项涉及60名接受PCNL治疗的患者的准实验性研究.
- 组A (30名患者):PCNL患有气动性石.
- 组B (30名患者):PCNL与气动和超声波结合的石.
- 石块大小,手术时间,住院时间,血红蛋白损失,辅助手术和石头清除率的比较.
主要成果:
- 与单独的气动 (67.5分钟) 相比,联合石术 (57.3分钟) 的平均手术时间显著缩短 (p<0.05).
- 术后平均血红蛋白下降显著较低的结合石 (1.12 g/dL) 与单独的气动 (1.37 g/dL) (p<0.05).
- 两组之间没有观察到石头大小,住院时间或无石头率的显著差异.
结论:
- 组合的气动和超声波石化疗法在PCNL中表现出比单独的气动石化疗法更高的疗效.
- 这种综合方法显著减少了PCNL期间的手术时间和血液损失.
- 结合性石术是使用PCNL治疗大型结石的有效进展.
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
03:56A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
2.3K
相关概念视频
01:22Nursing Assessment of the Genitourinary System III: Percussion and Auscultation
The genitourinary system maintains the body's fluid balance, waste excretion, and overall homeostasis. Proper assessment is essential for early detection of disorders, with percussion and auscultation integral to this evaluation. These methods help identify signs of kidney or bladder issues and provide important diagnostic clues.Percussion for Kidney TendernessPercussion is used to assess tenderness and detect kidney and bladder abnormalities. A common method for determining kidney tenderness...
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
01:30Urinary Tract Calculi III: Medical Management
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)...
01:28Urinary Tract Calculi V: Nursing Management
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
01:25Urinary Tract Calculi VI: Surgical Management
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...
01:24Imaging Studies II: Ultrasonography
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...