迷你PCNL (皮肤穿神经切除术) 与FURSL (柔性尿路透镜和激光光):在治疗阴囊分泌器石头方面进行头对头比较:一项前性随机研究
Haitham Abdalla Shello1,2, Mahmoud Gabril3, Abdelaziz Elhendawy3
1Zagazig University, Zagazig, 7120001, Egypt. haitham.shello@gmail.com.
World journal of urology
|June 16, 2025
概括
迷你透皮瘤切除术 (迷你-PCNL) 和柔性尿道透视术 (fURSL) 对于阴囊分泌器结石是有效的. Min-PCNL显示出更高的无石头率,而fURSL则提供更快的恢复和更短的住院时间.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 腎石病的管理方法
背景情况:
- 石分离器石块存在独特的管理挑战.
- 最少侵入性的外科手术技术是偏好的石头去除.
研究的目的:
- 为了比较迷你透皮瘤切除术 (min-PCNL) 与柔性尿道透镜与激光光术 (fURSL) 的疗效和安全性.
主要方法:
- 一项对78名患有阴囊分离器石头的患者的前性研究,随机分为fURSL和min-PCNL组.
- 对人口统计学,石材特性,手术参数和术后结果的分析.
- 关键的结果指标包括无石头率 (SFR),手术时间,住院时间和康复时间.
主要成果:
- 这两种程序都是可行的,具有可比的基线特征.
- 迷你PCNL组的SFR较高 (84.62%对71.79%),但在统计学上并不显著 (p=0.170).
- fURSL组的住院时间显著缩短 (17.31±3.06小时与30.03±7.18小时相比;p<0.001) 和恢复正常活动的速度更快 (5.1±1.37天与8.03±1.05天相比;p<0.05).
- 并发症率较低,在各组之间相似.
结论:
- 无论是min-PCNL还是fURSL,都是一种有效的治疗方法.
- 迷你PCNL在石头清理方面提供了潜在的优势.
- fURSL提供了更短的住院时间和更快的患者康复的好处.
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