完全无管的皮肤透膜腎上腺切除术是否是治疗状垂直结石的安全有效选择?
Susan Gong1, Kavita Gupta2, Christopher Connors2
1Department of Urology, SUNY Downstate Health Sciences University, New York, New York, USA.
Journal of endourology
|July 2, 2025
概括
完全无管的皮肤穿神经瘤切除术 (tt-PCNL) 提供了与传统的PCNL相比的可比性无石头率和安全性. 这种方法可以在同一天出院,减少住院时间,而不会影响结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎石病的管理方法
- 最少侵入性的手术
背景情况:
- 穿皮瘤切除术 (PCNL) 是一种标准的治疗方法,用于形形形.
- 传统上,由于对尿路静止的担忧,PCNL后使用了内置尿道支架或管.
- 完全无管的PCNL (tt-PCNL) 旨在减少标准石头的发病率和住院时间;它对状分离器的有效性需要研究.
研究的目的:
- 为了评估tt-PCNL与传统PCNL (t-PCNL) 相比的安全性和有效性,使用用于治疗石石的管/支架.
- 评估TT-PCNL的好处,如减少住院时间,是否适用于患有状分离器的患者.
- 为了比较tt-PCNL和t-PCNL之间的无石头率,并发症概况和患者康复情况.
主要方法:
- 从2013年到2024年,对42名患有状分歧结石的患者进行了回顾性分析,这些患者接受了PCNL (21 tt-PCNL, 21 t-PCNL).
- 人口统计,石头特征,手术内数据和结果的比较,包括无石头率 (SFR),分歧解决,并发症,ED访问和再接收.
- 使用Chi-square/Fisher对分类数据的精确测试和连续数据的Mann-Whitney U测试进行统计分析.
主要成果:
- 在tt-PCNL和t-PCNL群体之间,人口统计或石材特性没有显著差异.
- 在tt-PCNL和t-PCNL之间,分别有相似的无结石率 (94%与90%) 和分歧分辨率 (90%与100%).
- tt-PCNL患者在当天出院,而t-PCNL患者需要一夜间观察;并发症率低且相似 (Clavien-Dindo 1级).
结论:
- tt-PCNL是一种安全有效的治疗选择,用于状分流性石头.
- tt-PCNL提供了与t-PCNL相比较的无石头率和安全结果.
- tt-PCNL提供了更短的住院时间的优势,可使患有状分流结石的患者在同一天出院.
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