上皮肤性髓切除术中的并发症:比较无管和膜切除技术
Alberto Zambudio-Munuera1, Patricia Rodriguez-Parras1, Miguel Herraez-Marcos1
1Urology Department, San Cecilio University Hospital, 18016 Granada, Spain.
Archivos espanoles de urologia
|January 6, 2026
概括
无管穿皮瘤切除术 (PCNL) 可以减少结石的并发症和住院时间,但不会影响无结石率. 这种方法对于被选中的患者是安全的.
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:
- 穿皮骨切除术 (PCNL) 是20毫米以上结石的标准.
- 瘤管安置是一种常见的PCNL后手术.
- 瘤切除管对结果的影响需要进一步评估.
研究的目的:
- 为了比较无管与瘤管PCNL的结果.
- 为了评估术后并发症和住院时间.
- 为了确定卧床PCNL并发症的预测因素.
主要方法:
- 243名卧床PCNL患者的回顾性观察研究 (2018年1月 - 2024年6月).
- 在无管和瘤管组之间比较临床,手术和术后变量.
- 分类为感染性,出血性或严重的并发症;通过CT评估的无石头状态.
主要成果:
- 整体并发症率为14.4%,在nephrostomy管组 (22.9%对6.7%) 显着更高.
- 使用瘤切除管的住院时间更长 (3天与1天相比).
- 没有石头的比率是可比的 (80.9%与77.8%相比);nephrostomy管独立预测并发症.
结论:
- 无管PCNL显著减少并发症,缩短住院时间.
- 没有管的方法不会影响无石头率.
- 无管PCNL对于适当选择的患者来说是一个安全的选择.
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