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Single Port Donor Nephrectomy
Published on: March 12, 2011
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一项前性比较研究,研究逆行性内外科手术与卧卧式微型皮肤穿神经石切除术,用于单个上部尿道结石>10毫米
Nitesh Kumar1, Bhaskar K Somani2
1Consultant Urologist, Ford Hospital, Patna, India.
Central European journal of urology
|May 15, 2025
概括
逆行性内手术 (RIRS) 和卧式迷你皮肤穿神经切除术 (smPCNL) 对于较大的上尿道结石是有效的. smPCNL提供了一个单阶段解决方案,具有与RIRS相比的无石头率和并发症概况.
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:
- 大于10毫米的上尿路结石对临床构成重大挑战.
- 手术管理的选择包括逆行性内外科手术 (RIRS) 和卧卧式微型皮肤瘤切除术 (smPCNL).
研究的目的:
- 为了比较RIRS与smPCNL的疗效和安全性,用于治疗超过10毫米的上尿管结石.
- 评估两种手术的无石头率,手术时间和并发症概况.
主要方法:
- 在2023年1月至2024年6月期间,一项比较性研究涉及140名上尿路结石 (>10毫米) 的患者.
- 根据知情同意和患者偏好,患者被分配到RIRS (A组) 或smPCNL (B组).
- 收集的数据包括人口统计,石头特征,手术变量,术后结果,无石头率 (SFR) 和并发症 (Clavien-Dindo ≥II).
主要成果:
- 在手术后3个月,RIRS和smPCNL均表现出高无石头率 (分别为94.2%和98.57%).
- 与RIRS (42.52分钟) 相比,smPCNL的平均操作持续时间 (30.69分钟) 显著较短.
- 两组的并发症率相似 (2.88%),30%的RIRS病例中初级访问失败,需要分阶段干预.
结论:
- RIRS和smPCNL是对大型上尿道结石的安全有效的手术选择.
- smPCNL提供了与RIRS相似的单阶段治疗结果,使其成为管理这些具有挑战性的石头的可行替代方案.
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