皮肤穿透性利切除术中乳头接入与非乳头接入的周围手术结果
Mohammed Lotfi Amer1, Sameh ElNasharty1, Ahmed Essam Elhalaby1
1Urology Department, Tanta University Hospital, Tanta, Egypt.
BJU international
|March 7, 2025
概括
通过乳头或非乳头途径进入皮肤透过性腎石切除术 (PCNL) 显示,对结石的安全性和有效性相似. 非乳头接入趋向于更短的操作时间和更高的无石头率,尽管并没有显著差异.
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.
- 手术创新 在外科创新.
背景情况:
- 穿皮瘤切除术 (PCNL) 是大结石的主要治疗方法.
- 在PCNL期间可以通过乳头或非乳头路径进入脏.
- 了解这些访问方法的比较结果对于优化患者护理至关重要.
研究的目的:
- 为了比较PCNL中的乳头与非乳头接入的术后结果.
- 评估每个接入技术在治疗大型结石方面的安全性和有效性.
主要方法:
- 一项前性随机试验,涉及70名患有结石的患者.
- 患者被分配到皮囊 (n=35) 或非皮囊 (n=35) PCNL接入.
- 主要结局:血红蛋白下降,需要输血. 二次结果:手术时间,无石头率 (SFR),辅助程序和并发症率.
主要成果:
- 两组之间血红蛋白下降或输血率没有显著差异.
- 非皮膜接入显示了较短的操作时间 (83分比92分) 和较高的初始SFR (88.6%比82.9%),但这些趋势在统计学上并不显著.
- 最终的SFR相似 (94.3%对97.1%),并发症率在两组中都是低的和可比的.
结论:
- 在PCNL中, papillary 和 non-papillary 接入都显示出可比的安全性和有效性.
- 虽然非乳头接入可以在操作时间和SFR方面提供轻微的优势,但这些差异没有达到统计学意义.
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