超级迷你穿皮神经切除术 (smPCNL) 和体外冲击波化术 (Eswl) 在儿童1-2厘米结石中的比较:单中心回顾性受控研究
Mehmet Sevim1, Murat Demir2, Recep Eryılmaz2
1Department Of Urology, Van Training and Research Hospital, University of Health Sciences, Van 65000, Turkey.
Urology journal
|January 31, 2026
概括
超级迷你穿皮腎石切開術 (smPCNL) 提供更高的石頭免費率,為1-2厘米的腎石,相較於外體衝擊波石 (ESWL). smPCNL可以减少重复手术和麻醉暴露的需要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 腎石病的治療方法
背景情况:
- 身体外冲击波石 (ESWL) 是对结石的常见治疗方法.
- 超小型皮穿性瘤切除术 (smPCNL) 是一种替代的最小侵入性方法.
- 对于这些模式的石头1-2厘米的比较结果数据是有价值的.
研究的目的:
- 为了比较smPCNL与ESWL对1-2厘米的结石的有效性和结果.
- 评估两个治疗组之间的无石头率,再干预率和并发症概况.
主要方法:
- 在2017年1月至2021年6月期间,对159名患者 (77名smPCNL,82名ESWL) 进行了结石 (1-2厘米) 治疗的回顾性分析.
- 收集的数据包括患者人口统计,石头特征,手术细节,无石头状态和并发症.
- 进行了统计分析,以比较smPCNL和ESWL组之间的结果.
主要成果:
- 在smPCNL和ESWL组之间,在年龄,BMI或石头大小方面没有发现显著差异.
- 与ESWL相比,smPCNL的无石头率明显高于ESWL (p=.001).
- 与ESWL组 (26.8%) (p=.0003) 相比,smPCNL组 (5.2%) 的重新干预率明显较低. 没有观察到并发症的显著差异 (p=.51).
结论:
- 与ESWL相比,smPCNL表现出更高的无结石率,并且对于1至2厘米的结石需要更少的重新干预.
- 虽然ESWL仍然是一个安全的第一线选择,但smPCNL是一个可行的替代方案,可以实现更高的无石头率,而不会增加并发症风险.
- 建议进一步进行前性多中心随机试验,以巩固这些发现.
更多相关视频
相关概念视频
Shock Waves
2.6K
While deriving the Doppler formula for the observed frequency of a sound wave, it is assumed that the speed of sound in the medium is greater than the source's speed through it. When this condition is breached, a shock wave occurs.
When the source's speed approaches the speed of sound, constructive interference between successive wavefronts emitted by the source occurs immediately behind it. Initially, scientists believed that this constructive interference would result in such high...
When the source's speed approaches the speed of sound, constructive interference between successive wavefronts emitted by the source occurs immediately behind it. Initially, scientists believed that this constructive interference would result in such high...
2.6K
Brainstem: Control Centers of Medulla
4.2K
The medulla oblongata is a crucial part of the brainstem responsible for controlling various autonomic and involuntary functions. It contains several nuclei, including the olivary, cuneate, gracile, and solitary nuclei.
Olivary Nucleus
The olivary nucleus, or inferior olivary nucleus, is located within the ventrolateral part of the medulla oblongata. It is primarily involved in motor coordination and motor learning. The olivary nucleus receives input from the spinal cord, cerebellum, and motor...
Olivary Nucleus
The olivary nucleus, or inferior olivary nucleus, is located within the ventrolateral part of the medulla oblongata. It is primarily involved in motor coordination and motor learning. The olivary nucleus receives input from the spinal cord, cerebellum, and motor...
4.2K
Predicting Products: SN1 vs. SN2
17.3K
Nucleophilic substitution reactions of alkyl halides can proceed via an SN1 or an SN2 mechanism. While in SN2 reactions, the nucleophile attacks the substrate simultaneously as the leaving group departs, in SN1 reactions, the substrate first dissociates to give the carbocation intermediate. Various factors such as the structure of the substrate, the strength of the nucleophile, and the nature of the solvent promote one mechanism over the other.
With increased substitution on the alkyl halide,...
With increased substitution on the alkyl halide,...
17.3K
Types of Building Stone
441
Building stones, essential materials for construction, are extracted from natural rock deposits and processed into specific forms and dimensions suitable for various building applications. These stones are broadly classified into three types based on their geological formation: igneous, sedimentary, and metamorphic.
Igneous rocks are formed from the solidification of magma or lava. An example is granite, known for its durability and resistance to weathering, making it ideal for parts of...
Igneous rocks are formed from the solidification of magma or lava. An example is granite, known for its durability and resistance to weathering, making it ideal for parts of...
441
Quarrying of Stone
580
Quarrying is the process of extracting stone from a quarry, where specialized techniques are employed to remove large blocks of stone safely and efficiently. This process can involve controlled explosions or more precision-oriented methods such as cutting and drilling.
One common method involves using a diamond belt saw to cut large blocks from the quarry face. These blocks can be about 50 feet long and 12 feet high. After the initial vertical cut, drilling is performed at the base of the...
One common method involves using a diamond belt saw to cut large blocks from the quarry face. These blocks can be about 50 feet long and 12 feet high. After the initial vertical cut, drilling is performed at the base of the...
580
Stone Masonry
467
Stone masonry is a construction technique that uses individual stones to build structures and can be categorized into two main types: rubble and ashlar. Rubble masonry uses uneven, naturally shaped stones such as river rocks or fragments from quarries. This method often requires the mason to select and possibly shape each stone to fit the designated space, ensuring a proper build, even with irregular stone sizes and shapes. Ashlar masonry, on the other hand, employs uniformly cut stones that...
467


