在患有大于2厘米的上结石的患者中,微型皮肤内切除术和灵活的尿路透镜术之间的比较
Zafer Gokhan Gurbuz1, Kadir Karkin1, Mubariz Aydamirov2
1Department of Urology, Health Sciences University, Adana City Training and Research Hospital, 4522 Adana, Turkey.
Archivos espanoles de urologia
|August 8, 2025
概括
灵活的尿道透镜用荷激光光 (FURSL) 和迷你透皮瘤切除术 (迷你PNL) 对于大的上石是有效的. FURSL提供更短的手术和住院时间,具有可比的无石头率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌学是什么?内分泌学是什么
- 腎石病的治療方法
背景情况:
- 柔性尿路透镜与荷激光光 (FURSL) 和迷你穿皮瘤切除术 (迷你PNL) 的比较.
- 专注于治疗大于2厘米的上结石.
研究的目的:
- 为了比较FURSL与迷你PNL的疗效和安全性,用于>2厘米的上石.
- 评估手术时间,住院时间,并发症率和无石头率 (SFR).
主要方法:
- 对接受FURSL或迷你PNL的患者进行结石 (2-4厘米) 的回顾性分析.
- 通过非对比CT对手术结果的比较,包括手术时间,住院时间,并发症和1个月的SFR.
主要成果:
- 73名患者在FURSL组,75名患者在迷你PNL组.
- FURSL显著缩短了平均操作时间 (72.5分钟) 和住院时间 (1.2天) (p < 0.001).
- 类似的1个月SFR (83.6%FURSL对比90.7%迷你PNL,p=0.461) 和并发症率的非显著差异 (12.3%对比21.3%,p=0.199).
结论:
- 无论是FURSL还是迷你PNL都对高于2厘米的上卵石安全有效.
- FURSL提供了较短的手术和住院时间的优势.
- FURSL可以是迷你PNL的推替代品,在特定患者中可能具有较低的并发症率.
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