针对大黄蜂角结石的迷你皮肤内切除术的并发症
Zafar Ahmad Khan1, Qudrat Ullah2
1Urology, Bacha Khan Medical College, Mardan Medical Complex, Mardan, PAK.
Cureus
|November 14, 2025
概括
迷你穿皮瘤切除术 (迷你PCNL) 为鹿角结石提供了一种安全有效的治疗方法,可以实现高无结石率,并可控并发症. 这种最少的侵入性方法对复杂的石头管理具有前景.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 最少侵入性的手术
背景情况:
- 角结石由于其复杂的性质和位于盆和中,因此存在重大手术挑战.
- 标准的皮肤穿神经切除术 (PCNL) 携带并发症的风险,需要探索更少侵入性的替代方案.
- 迷你PCNL使用较小的通道直径,旨在降低患病率,同时保持结石去除的有效性.
研究的目的:
- 为了评估临床结果和小透皮瘤切除术 (mini-PCNL) 的无结石率 (SFR) 在患有鹿角结石的患者中.
- 评估与复杂结石迷你PCNL相关的手术内和术后并发症概况.
- 提供证据证明小型PCNL在巴基斯坦当地环境中的安全性和有效性.
主要方法:
- 一项前性观察性研究,涉及120名年龄在15-70岁的患有鹿角结石 (完全或部分) 的患者.
- 术前评估包括非对比CT扫描,以评估脏结构和石头负担.
- 用克拉维恩-丁多系统对并发症进行分类,使用SPSS统计版本 26.0.0.进行数据分析.
主要成果:
- 这项研究包括120名患者 (68名男性,52名女性;平均年龄为42.3岁),其中60%具有完整的鹿角结石.
- 术后并发症发生在18.3%的患者中,主要是出血 (8.3%) 和收集系统损伤 (4.2%).
- 手术后的并发症包括发烧/感染 (16.7%),尿液过敏 (4.2%),延迟出血 (2.5%),以及一个死亡率 (0.8%). 没有石头的比例为84.2%,平均住院时间为3.8天.
结论:
- 迷你透皮瘤切除术 (迷你PCNL) 证明了在治疗鹿角结石时的安全性和有效性.
- 高无石头率与可接受的手术内和术后并发症概况得到了实现.
- 优化术后护理和强有力的感染控制策略对于小型PCNL对鹿角石的成功结果至关重要.
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