从人体质量指数到腰围:一种模式转变在评估透性利石切割的访问复杂性-比较性研究
Timucin Sipal1, Erdal Yilmaz2, Ferhat Yakup Suceken3
1Department of Urology, University of Kirikkale, Kirikkale, Turkey. drtimucin@hotmail.com.
Urolithiasis
|August 16, 2025
概括
腰围 (WC) 比BMI更好地预测了超声波导向PCNL中的门难度,特别是在中部肥胖症患者中. 光学引导的PCNL可能更适合肥胖患者.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术技术 手术技术
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 透皮石切除术 (PCNL) 是石去除的一个关键手术.
- 评估脏接入困难对于成功的PCNL结果至关重要.
- 肥胖,按BMI和WC表示,可以使手术访问复杂化.
研究的目的:
- 将腰围 (WC) 和体重指数 (BMI) 进行比较,以预测PCNL期间的门难度.
- 评估WC和BMI对光导向PCNL (FPCNL) 和超声波导向PCNL (UPCNL) 访问参数的影响.
主要方法:
- 分析了接受PCNL的109名患者,分为FPCNL (n=63) 和UPCNL (n=46) 组.
- 患者根据WC (≥90厘米与<90厘米) 和BMI (≥30与<30) 进行了分类.
- 访问难度是通过尝试访问的次数 (NAA) 和访问时间 (AT) 来衡量的;无石头率 (SFR) 通过CT扫描进行评估.
主要成果:
- 在不同的BMI和WC类别中,以及在UPCNL和FPCNL技术之间,SFR是相似的.
- 在UPCNL中,增加的WC,但不是BMI,与更高的NAA和AT相关.
- 在FPCNL中,WC和BMI都没有显著影响访问参数. 在UPCNL中,WC和水解预测了AT和NAA.
结论:
- WC是比BMI更可靠的预测指标,用于估计UPCNL的访问困难,特别是在中心肥胖患者中.
- 在辐射暴露方面,UPCNL提供了安全优势.
- 对于肥胖患者来说,FPCNL可能是更合适的选择,因为WC和BMI对访问参数的影响较小.
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