重复石头手术的风险分层:石头组成的作用
Sagi A Shpitzer1,2, Igal Shpunt1,2, Nadav Loebl3,4
1Institute of Urology, Rabin Medical Center, Petah Tikva, Israel.
World journal of urology
|April 1, 2025
概括
石的组成可以预测手术复发的风险. 非酸盐石头,如囊和感染石头,出现更高,更快的复发率,指导个性化预防策略.
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.
- 医学化学 医学化学
背景情况:
- 在5年内,结石在30-50%的患者中复发.
- 结石的手术复发带来了重大的临床负担.
- 石材成分分析在手术后很容易获得,并且可以在代谢评估之前进行.
研究的目的:
- 为了确定结石的组成是否能预测重复的石头手术.
- 提供针对石复发的个性化管理策略的见解.
- 为了将特定的石材成分与重复手术干预的可能性和时间联系起来.
主要方法:
- 对8561名接受手术治疗的患者进行了回顾性分析,并提供了石材成分数据.
- 在一个大型医疗保健提供者数据库中,从2013年到2020年收集的数据.
- 在最初的石头手术后长达5年的时间内分析了患者数据.
主要成果:
- 24.5%的患者 (2,097) 在五年内需要重复石头手术.
- 尿酸,酸,感染,布鲁希特和囊石的手术复发风险增加了1.5至2.71倍,与酸石相比 (p < 0.001).
- 囊和感染结石的形成者经历了明显更短的重复手术的中位数时间 (p < 0.01).
结论:
- 石的组成是5年手术复发率和复发时间的重要预测因素.
- 形成非氧酸盐结石的患者面临复发性石头手术的更高风险.
- 告知患者石材构成风险可以提高对预防策略的坚持,并优先考虑主动管理.
更多相关视频
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
187
15:11Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
Published on: January 5, 2015
62.8K
相关概念视频
01:45Kidney Structure
67.3K
The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
67.3K
01:30Types of Building Stone
80
Building stones, essential materials for construction, are extracted from natural rock deposits and processed into specific forms and dimensions suitable for various building applications. These stones are broadly classified into three types based on their geological formation: igneous, sedimentary, and metamorphic.
Igneous rocks are formed from the solidification of magma or lava. An example is granite, known for its durability and resistance to weathering, making it ideal for parts of...
Igneous rocks are formed from the solidification of magma or lava. An example is granite, known for its durability and resistance to weathering, making it ideal for parts of...
80
01:29Stone Masonry
92
Stone masonry is a construction technique that uses individual stones to build structures and can be categorized into two main types: rubble and ashlar. Rubble masonry uses uneven, naturally shaped stones such as river rocks or fragments from quarries. This method often requires the mason to select and possibly shape each stone to fit the designated space, ensuring a proper build, even with irregular stone sizes and shapes. Ashlar masonry, on the other hand, employs uniformly cut stones that...
92
01:15Quarrying of Stone
78
Quarrying is the process of extracting stone from a quarry, where specialized techniques are employed to remove large blocks of stone safely and efficiently. This process can involve controlled explosions or more precision-oriented methods such as cutting and drilling.
One common method involves using a diamond belt saw to cut large blocks from the quarry face. These blocks can be about 50 feet long and 12 feet high. After the initial vertical cut, drilling is performed at the base of the...
One common method involves using a diamond belt saw to cut large blocks from the quarry face. These blocks can be about 50 feet long and 12 feet high. After the initial vertical cut, drilling is performed at the base of the...
78