在使用常规囊镜的婴儿中使用Supine mini PCNL
Heera Tharanendran1, Ramesh Babu1, Mathisekaran Thangarasu1
1Asian Institute of Nephrology and Urology, Chennai, 600034, India.
Journal of pediatric urology
|August 5, 2025
概括
婴儿的简化卧底迷你皮肤透气瘤切除术 (PCNL) 技术为脏结石的去除提供了一种最少的侵入性选择. 这种方法使用标准的儿科泌尿器科仪器,改善了可访问性和患者康复.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 脊髓石切除术 (nephrolithotomy) 是一个切除术.
背景情况:
- 介绍了婴儿背部微型皮穿性瘤切除术 (PCNL) 的简化技术.
- 使用传统的紧型囊泡镜和常见的儿科泌尿器科仪器.
- 提高了可访问性,特别是在资源有限的环境中.
研究的目的:
- 描述一个修改的迷你PCNL方法用于婴儿.
- 评估其可行性,安全性和有效性.
- 为了减少侵袭性和改善儿科患者的康复.
主要方法:
- 背部定位与侧翼升高和扩展的石头切割.
- 通过囊镜对3Fr尿道导管进行逆向放置.
- 光学指导用于下/中杯孔穿刺,插入,以及Holmium:YAG激光石.
- 前级DJ支架插入用于碎片清除.
主要成果:
- 五名患有骨盆结石 (13-19毫米) 的婴儿 (平均年龄15个月) 接受了治疗.
- 平均操作时间为40分钟.
- 没有报告任何并发症,在1年的随访期内石头完全清除.
结论:
- 修改后的卧式迷你PCNL是最少的侵入性,增强婴儿的恢复.
- 仰卧定位提高了麻醉的安全性,并避免了重新定位.
- 建议进行进一步的研究以验证长期结果.
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