一期扩张法经皮肾镜取石术：对于既往接受过开放手术的患者是否安全？
Percutaneous nephrolithotomy with one-shot dilation method: Is it safe in patients who had open surgery before?
作者信息
Süelözgen Tufan, Isoglu Cemal Selcuk, Turk Hakan, Yoldas Mehmet, Karabicak Mustafa, Ergani Batuhan, Boyacioglu Hayal, Ilbey Yusuf Ozlem, Zorlu Ferruh
机构信息
Tepecik Training and Research Hospital Department of Urology, Izmir, Turkey;
Department of Urology, Faculty of Medicine, Dumlupinar University, Evliya Celebi Training and Research Hospital, Kütahya, Turkey;
出版信息
Can Urol Assoc J. 2016 Mar-Apr;10(3-4):E132-5. doi: 10.5489/cuaj.3301. Epub 2016 Apr 18.
INTRODUCTION
This study aimed to evaluate whether one-shot dilatation technique is as safe in patients with a history of open-stone surgery as it is in patients without previous open-stone surgery.
METHODS
Between January 2007 and February 2015, 82 patients who underwent percutaneous nephrolithotomy (PNL) surgery with one-shot dilation technique who previously had open-stone surgery were retrospectively reviewed and evaluated (Group 1). Another 82 patients were selected randomly among patients who had PNL with one-shot dilation technique, but with no history of open renal surgery (Group 2). Age, gender, type of kidney stone, duration of surgery, radiation exposure time, and whether or not there was any bleeding requiring perioperative and postoperative transfusion were noted for each patient.
RESULTS
The stone-free rates, operation and fluoroscopy time, and peroperative and postoperative complication rates were similar in both groups (p>0.05).
CONCLUSIONS
Our experience indicated that PNL with one-shot dilation technique is a reliable method in patients with a history of open-stone surgery.
引言
本研究旨在评估单次扩张技术在有开放性结石手术史的患者中是否与无既往开放性结石手术史的患者一样安全。
方法
回顾性分析并评估2007年1月至2015年2月期间82例行单次扩张技术经皮肾镜取石术（PNL）且既往有开放性结石手术史的患者（第1组）。另外，从行单次扩张技术PNL但无开放性肾脏手术史的患者中随机选取82例患者（第2组）。记录每位患者的年龄、性别、肾结石类型、手术时长、辐射暴露时间以及是否有任何需要围手术期和术后输血的出血情况。
结果
两组的结石清除率、手术和透视时间以及围手术期和术后并发症发生率相似（p>0.05）。
结论
我们的经验表明，单次扩张技术的PNL对有开放性结石手术史的患者是一种可靠的方法。
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