与更高的风险转换的相关因素从无辐射皮肤透膜神经瘤切除术 (PCNL) 到光学引导的皮肤透膜神经瘤切除术
Noah Swärd1,2, Anthony Galvez1, Riley Hull3
1University of California, San Diego Health, San Diego, California, USA.
Journal of endourology
|February 6, 2026
概括
仅使用超声波的无辐射皮肤穿神经切除术 (PCNL) 是可行的,并且与标准的光学指导程序相比,可以达到类似的无石头率. 这种方法可以减少辐射暴露,而不会影响结石切除手术的结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 医疗成像医学成像
背景情况:
- 皮肤透神经切除术 (PCNL) 传统上使用光学,涉及电离辐射.
- 减少医疗程序中的辐射暴露是医疗保健的一个重要目标.
研究的目的:
- 评估完全由超声波指导的无辐射PCNL的可行性和结果.
- 将无辐射的PCNL与标准的光学引导PCNL进行比较.
主要方法:
- 一个由16个无辐射的PCNL病例 (A组) 组成的前性队列与83个光学引导的PCNL病例 (B组) 的历史队列进行了比较.
- 转换为光镜的A组病例的一个子集在手术内形成了C组.
- 主要结局是CT评估的无结石率 (SFR);次要结局包括失血和并发症.
主要成果:
- 石头负载的中位数在各组之间是可比的.
- 没有石头的比例相似:A组的38%,B组的30%,C组的25%.
- 在并发症率或次要结局方面没有发现显著差异.
结论:
- 无辐射PCNL是光学引导PCNL的一个可行的替代方案.
- 该技术提供了相似的外科成功,同时最大限度地减少了辐射暴露.
- 需要改进的可视化工具来克服手术期间的挑战,并减少对光镜的转换.
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