患儿皮肤穿透性利切除术后长期尿泄漏的危险因素:对石化术技术的比较研究
Nebil Akdogan1, Mehmet Gurkan Arikan2, Ismail Onder Yilmaz2
1Faculty of Medicine, Department of Urology, Cukurova University, Adana, Turkey. nebilakdogan@hotmail.com.
World journal of urology
|May 31, 2025
概括
肺动力石 (PL) 与激光石 (LL) 相比,降低了儿科穿皮瘤切除术 (PCNL) 后的长时间尿液泄漏 (PUL). 更大的入口直径,石头大小和年龄较小会增加PUL风险.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 脊髓石切割的技术 脊髓石切割的技术
- 手术并发症 手术并发症
背景情况:
- 长时间的尿泄漏 (PUL) 是儿科皮肤穿神经切除术 (PCNL) 后的潜在并发症.
- 识别PUL的风险因素对于优化小儿石头疾病手术结果至关重要.
研究的目的:
- 为了调查与长时间尿液泄漏 (PUL) 相关的风险因素,儿童皮肤穿透性瘤切除术 (PCNL).
- 具体来说,是为了评估不同类型的石化物对PUL发病率的影响.
主要方法:
- 对847例儿科PCNL病例 (1997年8月至2024年2月) 的回顾性分析.
- 患者分为长期泄漏 (>24小时) 和正常泄漏组.
- 后勤回归用于确定长期尿泄漏的决定因素.
主要成果:
- 激光石片 (LL) 与气动石片 (PL) 相比,显著增加了PUL风险 (OR,3.1;p<0.001).
- 与更大的入口直径 (≥26 Fr),更大的石头大小 (>350 cc),年龄较小 (<6岁) 和多次入口相关的PUL风险增加.
- 在大多数情况下,没有DJ支架的保守管理是有效的.
结论:
- 与LL相比,在儿科PCNL中,气动石剂 (PL) 与PUL的风险较低.
- 预测PUL的预测因素包括通道直径,石块大小和患者年龄.
- 建议进行保守的管理,以尽量减少发病率.
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