一次会议还是两次? 一个同一个会话对分阶段双边皮肤穿透性髓切除术的元分析
Christiano Machado Filho1, Henrique L Lepine2, Maria Clara M D S Lima3
1Department of Urology, Pontifical Catholic University of Paraná, Curitiba, Brazil.
Journal of endourology
|March 11, 2026
概括
同一会话双边皮肤穿神经切除术 (ssPCNL) 是对结石的安全有效治疗方法,其结果与阶段性手术相比,住院时间缩短. 这种方法将患者的发病率和医疗保健成本降到最低.
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.
- 手术创新 在外科创新.
背景情况:
- 双边复杂结石病带来了重大的外科手术挑战.
- 穿皮瘤切除术 (PCNL) 是标准的治疗方法,可使用分阶段 (sPCNL) 和同一会期 (ssPCNL) 的双边方法.
- ssPCNL是传统上青的sPCNL的一个新兴替代品.
研究的目的:
- 系统地比较ssPCNL与sPCNL的疗效,安全性和效率.
- 为管理双边结石的临床决策提供基于证据的见解.
- 评估结果,包括无石头率,并发症和住院时间.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 搜索了PubMed,Scopus和Cochrane数据库进行比较研究.
- 分析了无石头率,轻微并发症和住院作为主要结果;手术时间,血红蛋白降低和输血需要作为次要结果.
主要成果:
- 在ssPCNL和sPCNL之间,无结石率或轻微并发症没有显著差异.
- ssPCNL的住院时间显著缩短 (平均减少2.92天).
- ssPCNL与手术时间缩短和可比的输血需求有关.
结论:
- ssPCNL是双边结石的安全,有效和高效的替代品.
- 它实现了可比的临床结果,同时降低了患者的发病率和医疗负担.
- 在经验丰富的中心,应考虑对适当选择的患者进行ssPCNL.
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