超平面超声波引导的多通道皮肤透气神经质切除术:复杂神经质切症患者的回顾性比较研究
Geng-Geng Wei1, Kristine J S Kwan2, Yu Yang1
1Department of Urology, The University of Hong Kong - Shenzhen Hospital, Shenzhen, Guangdong, China.
Frontiers in urology
|February 23, 2026
概括
在复杂结石 (CRS) 的多通道皮肤穿神经切除术 (PCNL) 中,外平面超声指导是安全有效的. 这种技术提高了手术效率,甚至可以保持功能,即使有更大的石头.
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.
- 医疗成像医学成像
背景情况:
- 复杂结石 (CRS) 带来了管理方面的挑战.
- 多通道皮肤穿神经切除术 (PCNL) 是CRS的一种治疗选择.
- 超声指导 (USG) 在PCNL中使用,但外平面指导需要进一步评估.
研究的目的:
- 为了比较超平面USG指导与常规USG指导在CRS多通道PCNL中的有效性和安全性.
- 为了评估手术结果,无石头率和术后并发症.
主要方法:
- 对接受多途径PCNL的91名CRS患者的回顾性分析.
- 患者被分为常规的USG和外平面USG组.
- 人口统计,手术特征,石头大小,手术时间,无石头率和术后结果的比较.
主要成果:
- 超平面USG组的操作时间显着更长 (145分钟对108分钟,p=0.001),尽管常规组的石头更大.
- 没有石头的比例相似 (55%与57%对比).
- 外平面USG组显示手术后血清肌素水平较低 (80比87μmol/L,p=0.03) 和住院时间较短 (8比10天,p=0.01).
结论:
- 超平面USG指导是安全有效的多通道PCNL在管理CRS.
- 该技术优化了穿孔策略,提高了操作效率.
- 尽管基线石块负载差异,但仍有改善脏脏保护的可能性.
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