单个会话双边卧底皮肤穿神经瘤切除术:安全性和有效性
Mahmoud F Rohiem1, Ahmed H Gabr2,3, Mostafa Magdi Ali2
1Department of Urology, Port-Said University Hospitals, Port-Said, Egypt.
Urologia
|December 4, 2025
概括
单次坐卧双侧皮穿透性髓切除术 (BPCNL) 是对双侧结石的安全有效治疗方法. 这种复杂的手术需要在三级中心的专家外科医生才能获得最佳的结果.
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.
- 手术创新 在外科创新.
背景情况:
- 双边结石是一个重大的治疗挑战.
- 穿皮腎石切除術 (PCNL) 是大型腎石的標準治療方法.
- 对于PCNL来说,位定位在特定患者群体中提供了潜在的优势.
研究的目的:
- 评估单次卧床双边皮肤穿神经切除术 (BPCNL) 的安全性和有效性.
- 为了评估使用这种技术治疗双边结石的患者的结果.
主要方法:
- 追溯识别52名双边结石 (>2厘米,<5厘米) 的患者,接受单次卧床BPCNL治疗.
- 纳入标准集中在主要位于骨中的石头上.
- 在CT扫描中,无石头状态定义为剩余碎片≤2mm.
主要成果:
- 实现了75%的初级无石头率.
- 血清肌素和球过率的临时术后变化在一个月内正常化.
- 平均手术时间为126.5分钟,平均血红蛋白下降1.9g/dL. 13.4%需要辅助程序.
结论:
- 一次性卧床双边PCNL证明了治疗双边结石的安全性和有效性.
- 这种手术很复杂,需要经验丰富的外科医生在专门的中心进行.
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