术后常规胸部成像是必要的,以检测胸部并发症的患者,经历了supracostal迷你皮肤穿神经切除术 (m-PCNL) 手术?
Abdullah Esmeray1, Huseyin Burak Yazili1, Mucahit Gelmis1
1Department of Urology, Haseki Training and Research Hospital, Istanbul, 34096, Turkey.
The Canadian journal of urology
|March 9, 2026
概括
经过上肋骨微型皮肤透过性脑膜切除术 (m-PCNL) 后,不需要进行例行术后胸部成像. 这项研究在检测肺部并发症方面没有发现显著的益处,这表明有可能减少PCNL患者不必要的成像.
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.
- 胸部外科手术 胸部外科手术
背景情况:
- 通过皮肤瘤切除术 (PCNL) 中的上接入与肺部并发症风险的增加有关.
- 通常使用的是例行术后胸部成像,但其临床必要性仍在争论中.
研究的目的:
- 评估是否需要进行例行术后胸部成像,以检测经过上腰部微型皮肤透膜神经切除术 (m-PCNL) 后的肺部并发症.
主要方法:
- 对112名接受上腰部m-PCNL (2017-2022) 的患者进行了回顾性分析.
- 患者被分为两组:常规的胸部X射线 (CXR) (n=40) 和没有常规的CXR (n=72).
- 组之间的并发症和操作数据进行了比较.
主要成果:
- 两组之间没有年龄或石头大小的显著差异.
- 肺部并发症的发生率,包括需要胸腔管插入的肺部并发症,在两组之间是相似的 (2.5%对1.3%,p=0.671).
- 常规CXR没有导致更早或更有效地检测出临床意义上的肺部并发症.
结论:
- 常规的手术后胸部成像在检测肺部并发症后没有显著的好处.
- 这一发现表明,常规成像可能不必要,可能会降低医疗保健成本和患者暴露.
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