设计和评估日托中心皮肤穿神经切除术的检查清单
Kasi Viswanath Gali1, Arun Chawla1, Sunil Pillai Bhaskara1
1Department of Urology and Renal Transplant, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
European urology open science
|October 20, 2025
概括
穿皮骨切除术 (PCNL) 是对精选结石患者的一种安全的日间护理程序. 开发的检查清单有助于识别合适的候选人,确保良好的结果和减少住院时间.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 腎石病的管理方法
背景情况:
- 穿皮骨切除术 (PCNL) 是对结石的关键治疗方法.
- 评估PCNL作为日间护理程序需要定义合适的患者和石头特征.
- 优化患者选择可以提高效率并降低医疗保健成本.
研究的目的:
- 评估皮肤穿神经切除术 (PCNL) 作为日托手术的可行性.
- 确定与成功的日托PCNL相关的患者,石头和术后因素.
- 制定一个检查清单来选择适合的候选人日托PCNL.
主要方法:
- 对347名接受PCNL的患者进行前性观察性研究.
- 日间护理PCNL定义为手术后24小时内出院.
- 根据研究结果和患者选择标准,制定日托PCNL检查清单.
主要成果:
- 在347名患者中,有300名 (86.5%) 接受了成功的日托PCNL.
- 没有石头的比率为93%.
- 再入院率为4.3%,CCI得分≥2和石块体积>5000mm3与再入院相关. 糖尿病与更高的并发症率有关 (Clavien-Dindo等级≥2).
结论:
- 对于精心挑选的结石患者来说,PCNL是一种安全且可行的日间护理程序.
- 日托PCNL可以减少住院时间,同时保持可接受的并发症和再入院率.
- 拟议的检查清单有助于识别适合日托PCNL的患者,优化结果.
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