在皮肤性利解剖术中术内形光束计算机断层扫描的长期影响:18个月后期随机对照试验分析
Chris A Suijker1, Riemer A Kingma1, Rosanne van Ee1
1Department of Urology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
BJU international
|July 14, 2025
概括
皮肤穿神经切除术 (PCNL) 期间的手术内形电脑断层扫描 (CBCT) 可以通过改善石头清除来减少与石头有关的事件. 这种技术在18个月的随访期间显示出较少并发症的趋势.
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:
- 透皮石切除术 (PCNL) 是石切除的一个关键手术.
- 术内成像对于确保石头完全清除至关重要.
- 在PCNL之后的残留碎片可以导致与石头相关的事件 (SREs).
研究的目的:
- 评估术内形光束计算机断层扫描 (CBCT) 对PCNL后与石头相关的发病率的长期影响.
- 为了确定CBCT是否改善石头清理并减少与传统PCNL相比SREs的发生率.
主要方法:
- 一项随机对照试验的回顾性分析,比较PCNL与手术内CBCT与传统PCNL.
- 分析了与石头相关的事件 (SREs) 的18个月后续数据,包括重新干预,急诊和住院.
- 使用CT扫描评估了无石头率和石头复发的时间.
主要成果:
- 与传统的PCNL组相比,CBCT组的残留碎片>4mm率明显较低 (36%vs50%).
- 虽然CBCT组的SRE较少 (19%对29%),但SRE率的差异在统计上并不显著.
- 在CBCT组中,碎片检测和SRE的平均时间更长.
结论:
- 在PCNL期间的手术内CBCT可能会导致更高的无结石率.
- 在CBCT组中,在18个月内观察到与石头相关事件减少的趋势.
- 通过提高石头清理,CBCT有可能改善PCNL的结果.
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