在血栓细胞瘤患者中进行皮肤透是安全的吗? 一个追溯的案例系列分析
Bimalesh Purkait1, Himadri Pathak1, Kaushik Sarkar1
1Department of Urology, Vivekananda Institute of Medical Sciences, Kolkata, West Bengal, India.
Urology annals
|August 22, 2025
概括
通过皮肤进行腎石切除 (PCNL) 有效治疗结石. 在儿童和年轻成年患者中,轻度至中度血栓塞瘤并没有增加PCNL期间的出血风险,但建议进行血液学咨询.
科学领域:
- 泌尿外科
- 肝脏病学
- 血液学
背景情况:
- 穿皮瘤切除术 (PCNL) 是大型结石的标准治疗方法.
- PCNL具有最高的无结石率 (SFR),可以安全地在儿童和老年患者中进行.
- 在患有血栓塞瘤等血液问题患者中,PCNL会增加出血的风险.
研究的目的:
- 评估PCNL在患有血栓塞瘤的儿童和年轻成年患者的安全性和结果.
- 确定轻度至中度血栓塞瘤是否会增加PCNL期间外科手术期间出血的风险.
主要方法:
- 在2017年至2024年期间接受PCNL的四名儿童和年轻成年患者的回顾性分析.
- 分析了手术结果,包括无结石率 (SFR) 和并发症.
- 患有血栓塞瘤的患者.
主要成果:
- 在研究的病例中没有观察到主要的术后出血并发症.
- 轻度至中度血栓塞瘤似乎没有显著增加PCNL期间的出血风险.
- 所有患者都成功地移除了石头.
结论:
- 在轻度至中度血栓塞瘤的儿科和年轻成人患者中可以安全地进行PCNL.
- 在PCNL治疗前,建议进行血液学咨询和风险分层.
- 需要对更大群体进行进一步的研究来证实这些发现.
相关概念视频
Urinary Tract Calculi VI: Surgical Management
26
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
26
Venous Thrombosis III: Interprofessional Care
22
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
22
Cardiac Catheterization I: Pre-Procedure Overview
153
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
153
Urinary Tract Calculi IV: Nutrition Therapy and Prevention
31
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
31
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
44
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
44
Acute Kidney Injury IV: Diagnostic Studies and Prevention
57
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
57


