透皮石切除术对脏形态和动脉血管阻力的影响
Sachin Raj1, Thota Siddhartha1, Joseph Philipraj1
1Urology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, IND.
Cureus
|December 26, 2025
概括
大型结石的皮肤穿神经切除术 (PCNL) 对脏结构和血液流动的影响最小. 这项研究证实PCNL是安全的,长期保持功能和解剖学.
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.
- 放射学 放射学是一门学科.
背景情况:
- 尿病是一种常见的全球性泌尿病状况.
- 穿皮骨切除术 (PCNL) 是大型结石的标准治疗方法.
- 关于PCNL对脏结构和血管抵抗的长期影响的数据有限.
研究的目的:
- 评估PCNL对脏解剖学和动脉阻力的影响.
- 为了评估PCNL后的电阻指数 (RI),体厚度和回声效应的变化.
主要方法:
- 一项涉及40名患者的横截面研究,PCNL后12-18个月.
- 灰度和颜色多普勒超声波用于测量RI,体厚度和回声性.
- 在p<0.05.05的显著程度下进行的统计分析.
主要成果:
- 在手术后 (0.624 ± 0.040) 和逆侧 (0.611 ± 0.037) 之间,抗指数没有统计学上显著的差异.
- 97.5%的患者表现出正常的回性.
- 血清肌素水平平均为1.14 ± 0.42 mg/dL,表明功能得到保护.
结论:
- 在手术后12-18个月,PCNL对脏结构和动脉阻力的影响很小.
- 这些发现支持PCNL在维持功能和形态方面的安全性.
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