一项随机研究比较小PCNL和RIRS用于8毫米至15毫米之间的结石 - 一个单一的机构经验
K M Chavannavar1, Tg Subash Kaushik, V Meyyappan
1Department of Urology and Renal Transplantation, Sri Ramachandra Medical College, Chennai, Tamil Nadu, India.
Nigerian journal of clinical practice
|May 6, 2025
概括
逆行性内手术 (RIRS) 和迷你皮肤穿神经切除术 (mPCNL) 为结石提供了高的石头清除率. 建议外科医生保持谨慎,平衡手术时间和并发症,以获得最佳的患者结果.
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
背景情况:
- 结石疾病的治疗需要先进的微创技术.
- 逆行性内手术 (RIRS) 和微型皮肤穿神经切除术 (mPCNL) 是中等大小 (8-15毫米) 结石的关键.
研究的目的:
- 比较RIRS和mPCNL对于中等级结石.
- 评估石头清除,手术指标,并发症和患者的结果.
主要方法:
- 随机对照试验比较RIRS和mPCNL.
- 主要结果:石头清除率.
- 二次结果:手术时间,并发症,疼痛,再干预率.
主要成果:
- 可以比较的石头大小 (约. 11.2毫米) 在两组中.
- 在一个月内,mPCNL (96%) 与RIRS (90%) 的无石头率更高.
- RIRS的光学时间更短;mPCNL的并发症率更高,住院时间更长.
结论:
- 无论是RIRS还是mPCNL,都显示出对中等级结石的高疗效.
- 在手术时间和光学方面,RIRS显示出优势,而mPCNL具有更高的并发症风险.
- 治疗选择应由手术外科医生根据患者因素进行个性化选择.
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