简化患者定位和通道的技术
Vimal Kumar Dixit1, Apurva Gupta1, Vivek Kumar Vijjan1
1Department of Urology, Shri Guru Ram Rai Institute of Medical and Health Sciences and Shri Mahant Indiresh Hospital, Dehradun, Uttarakhand, India.
Urology annals
|August 22, 2025
概括
一种使用"Dixit线"的新型TRUE卧底穿皮神经切除术 (PCNL) 是有效且安全的. 这种简化方法可以替代传统的石去除方法.
科学领域:
- 尿道病学
- 最少的入侵性手术
背景情况:
- 穿皮瘤切除术 (PCNL) 是治疗结石的关键手术.
- 传统的卧床PCNL通常需要专业的患者定位用支架和支架.
研究的目的:
- 评估一个简化的 TRUE 卧底穿皮神经切除术 (PCNL) 技术.
- 通过使用"Dixit线"和省略支/,与传统的立PCNL比较这一新技术的结果.
主要方法:
- 在400名患者的追溯观察研究中,PCNL治疗脏或上尿道结石.
- 在2020年1月至2024年1月期间由一名泌尿科医生进行的手术.
- 一个新技术组的比较 (没有支/,Dixit线穿孔) 与一个传统技术组.
主要成果:
- 新技术组的操作时间显著缩短 (53±10分钟与70±15分钟,P<0.01).
- 在人口统计学,石头特征或大多数手术内/术后结果方面没有发现显著差异.
- 在新技术组中观察到更快释放时间的趋势 (1.8±0. 5天与2. 1±0. 7天,P=0. 05).
结论:
- 使用"Dixit线"的简化TRUE卧式PCNL技术是一个有效的替代方案.
- 与传统的卧床PCNL相比,这种方法提高了程序的效率,同时保持了安全性.
- 这种技术可以使患者更快地康复和出院.
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