[身体质量指数对结石迷你ECIRS结果的影响]
Tetsuo Fukuda1, Hiroki Ito2, Takahiko Watanabe3
1The Department of Urology, Ohguchi Higashi General Hospital.
Hinyokika kiyo. Acta urologica Japonica
|April 14, 2025
概括
针对结石的迷你内镜联合内手术 (ECIRS) 对体重指数 (BMI) 为30或更高的患者和体重指数较低的患者同样有效. 这项研究发现,两组人之间无结石率或并发症没有显著差异.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 腎石病的管理方法
背景情况:
- 体重指数 (BMI) 较高的肥胖症可能会在治疗结石方面带来挑战.
- 迷你内镜联合内外科手术 (ECIRS) 是治疗结石的一种微创方法.
研究的目的:
- 为了比较治疗结果和迷你ECIRS的并发症率,通过BMI分层的结石患者 (≥30比<30).
主要方法:
- 在2015年1月至2022年12月期间,对870名接受小ECIRS治疗结石的患者进行了回顾性分析.
- 患者被分为两个组:BMI≥30 (A组) 和BMI<30 (B组).
- 包括无结石率 (SFR) 和并发症在内的结果在术后一个月使用CT和KUB放射学进行了评估.
主要成果:
- 没有观察到无结石率的统计学意义上的差异 (A组:77.9%KUB,61.6%CT;B组:76.1%KUB,58.0%CT).
- 复杂症的发生率,包括手术后发烧和败血症,在两组之间是可比的.
- 经手术后住院时间的统计学上显著差异,A组的住院时间略长.
结论:
- 使用小穿皮通道 (≤20 Fr) 的迷你ECIRS是治疗结石的安全有效方法,无论患者的BMI如何.
- 体重指数似乎没有显著影响无结石率或迷你ECIRS后重大并发症的发生率.
- 进一步的研究可能会探索优化肥胖患者的手术技术,以进一步减少住院时间的变化.
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