卧式皮穿性利切除术中脏稳定:对手术效率和无结石率的影响
Ali Ayten1, Mert Kahraman2, Oguzhan Cura2
1Department of Urology, Gaziosmanpasa Training and Research Hospital, Karayollari, Osmanbey St. 621 Street, 34255, Gaziosmanpasa, Istanbul, Turkey. ali.15ayten@gmail.com.
International urology and nephrology
|December 16, 2025
概括
在卧床穿皮瘤切除术 (sPCNL) 期间的稳定显著改善了手术结果. 这种技术减少了手术时间,减少了血液损失,并提高了无结石率,使其成为泌尿科医生的宝贵工具.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术技术 手术技术
- 脊髓石切除术 (nephrolithotomy) 是一个切除术.
背景情况:
- 在卧床穿皮瘤切除术 (sPCNL) 期间,脏的移动性可能会损害程序的准确性和有效性.
- 有效的稳定对于优化sPCNL手术结果至关重要.
研究的目的:
- 评估外部凝袋稳定对sPCNL手术疗效,无结石率 (SFR) 和并发症概况的影响.
- 为了比较常规sPCNL和sPCNL与稳定的大型结石 (≥2厘米) 的结果.
主要方法:
- 对85名接受sPCNL治疗的患者进行了回顾性审查,针对≥2厘米的结石.
- 患者被分为两组:常规sPCNL (C组) 和sPCNL与外部凝袋稳定 (F组).
- 操作时间,接入时间,光镜时间,血红蛋白下降,输血率,停留时间 (LOS),并发症和SFR之间的组之间的比较.
主要成果:
- 与C组相比,F组的操作时间 (74.7分钟相比97.5分钟),访问时间和光镜时间显著缩短.
- F组的患者经历了较短的LOS (2.3 vs. 3.1天) 和较少的血红蛋白下降 (1.20 vs. 1.78 g/dL).
- 在F组 (88.6%) 和C组 (70.7%) 中,SFR显著更高,稳定是无石头状态的独立预测指标.
结论:
- 在sPCNL期间使用外部凝袋稳定脏,通过减少手术和光镜时间,提高了手术效率.
- 这种技术导致改善无石头率和减少血液损失,并具有类似的重大并发症率.
- 这些发现表明,稳定是改善sPCNL结果的宝贵补充,需要在前性研究中进一步调查.
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