儿童带管与无管经皮肾镜取石术的疗效比较：一项单中心研究。
Comparison of outcomes of tubed versus tubeless percutaneous nephrolithotomy in children: A single center study.
作者信息
Iqbal Nadeem, Assad Salman, Hussain Ijaz, Hassan Yumna, Khan Hafsa, Farooq Muhammad Armaghan, Akhter Saeed
机构信息
Department of Urology and Kidney Transplant, Pakistan Kidney Institute, Shifa International Hospital, Islamabad, Pakistan.
Shifa College of Medicine, Shifa International Hospital, Islamabad, Pakistan.
出版信息
Turk J Urol. 2018 Jan;44(1):56-61. doi: 10.5152/tud.2018.19616. Epub 2018 Jan 8.
OBJECTIVE
To evaluate and compare the effectiveness of tubeless percutaneous nephrolithotomy (PCNL) and tubed PCNL by using small bore nephrostomy tube (12Fr) in children for the management of nephrolithiasis.
MATERIAL AND METHODS
This study was a retrospective analysis of 35 children where tubed PCNL (Group 1) was done in 18, and tubeless PCNL (group 2) in 17 patients from January 2010 to December 2016. Charts were reviewed for age, mass, stone size, operative time, hospital stay and stone-free rates. These variables were compared between the two groups. SPSS version 21 was used for data analysis. The data were shown as mean±standard deviation for continuous variables. Categorical variables were presented in percentages.
RESULTS
There is no difference in terms of age, stone sizes, operative times, hospital stays, stone-free rates and post-PCNL complications between the two groups (p>0.05). The mean drop in hemoglobin level was 0.7±0.1 g/dL and 1.3±0.2 g/dL in Groups 1 and 2, respectively (p=0.01).
CONCLUSION
Tubeless PCNL in children is a safe option in well selected cases.
目的
评估和比较无管经皮肾镜取石术（PCNL）与使用小口径肾造瘘管（12Fr）的置管PCNL在儿童肾结石治疗中的有效性。
材料与方法
本研究对2010年1月至2016年12月期间35例儿童进行回顾性分析，其中18例行置管PCNL（第1组），17例行无管PCNL（第2组）。查阅病历以获取年龄、体重、结石大小、手术时间、住院时间和结石清除率等信息。对两组之间的这些变量进行比较。使用SPSS 21版进行数据分析。连续变量数据以平均值±标准差表示。分类变量以百分比呈现。
结果
两组在年龄、结石大小、手术时间、住院时间、结石清除率和PCNL术后并发症方面无差异（p>0.05）。第1组和第2组血红蛋白水平的平均下降分别为0.7±0.1 g/dL和1.3±0.2 g/dL（p=0.01）。
结论
在精心挑选的病例中，儿童无管PCNL是一种安全的选择。
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