...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>International Journal of Research in Medical Sciences >Prospective study comparing the safety and efficacy of totally tubeless percutaneous nephrolithotomy vs standard percutaneous nephrolithotomy
【24h】

Prospective study comparing the safety and efficacy of totally tubeless percutaneous nephrolithotomy vs standard percutaneous nephrolithotomy

机译：比较全无管经皮肾镜取石术与标准经皮肾镜取石术的安全性和有效性的前瞻性研究

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: To evaluate the feasibility and safety of totally tubeless percutaneous nephrolithotomy (PCNL) Vs standard PCNL. Methods: From August 2014 to January 2016, 66 patients underwent PCNL in our institute. Of this group, 35 patients underwent traditional nephrostomy drainage following PCNL. A tubeless procedure was performed in the remaining 31 patients. These groups were compared with respect to age, stone burden, intraoperative events, postoperative pain, analgesic requirements, soakage, postoperative change in hemoglobin, hospitalization time and complication rates. Results: Two groups were comparable with respect to age, stone burden (2.03 cm Vs. 2.12 cm) and intraoperative events. The mean pain score (day2 - 4.95 vs. 2.95) (day3 - 4.33 vs. 1.44) and analgesic requirement (mg diclofenac) (day2 - 140.22 vs. 65.31) (day3 - 124.44 vs. 43.89) was significantly less for group 2 on day 2 and 3. There was significant problem of soakage from nephrostomy tract in group 1. Patients in group 2 returned faster to normal activities but there was no difference found in drop in hemoglobin, complication rates even in subset of patients with large stone burden. No patient required readmission in the follow-up for pain, obstruction or infection in group 2. One patient developed urinoma which resolved conservatively Conclusions: In selected cases totally tubeless PCNL is feasible and safe.
机译：背景：评价完全无管经皮肾镜取石术（PCNL）与标准PCNL的可行性和安全性。方法：2014年8月至2016年1月，我院对66例患者行PCNL。在这一组中，有35例患者在PCNL之后接受了传统的肾造口术引流术。其余31例患者进行了无管手术。比较了这些组的年龄，结石负担，术中事件，术后疼痛，镇痛要求，浸泡，术后血红蛋白变化，住院时间和并发症发生率。结果：两组在年龄，结石负荷（2.03 cm vs. 2.12 cm）和术中事件方面可比。第2组的平均疼痛评分（第2天-4.95比2.95）（第3天-4.33比1.44）和止痛需要量（双氯芬酸毫克）（第2天-140.22比65.31）（第3天-124.44比43.89）显着降低第2天和第3天。第1组有一个严重的从肾造口术浸润的问题。第2组的患者恢复正常活动的速度更快，但即使在石块沉重患者中，血红蛋白下降，并发症发生率也没有差异。在第2组中，没有患者因疼痛，阻塞或感染而需要再次入院，其中一名患者发展为尿道瘤，可以保守地解决。结论：在某些情况下，完全无管PCNL是可行和安全的。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号