Timing

Elliott R. Morss, Jerry Van Sant
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Abstract

RESULTS: The study included a total of 98 consecutive pa- tients, with 49 patients in each group. No statistically signi fi cant differ-ences were observed in terms of stone volume (p [ 0.085), stone density (p [ 0.5590), location of renal access (p [ 0.108), surgery duration (p [ 0.38), blood loss (p [ 0.54), or laboratory changes after surgery (p [ 0.60). 91.84 precent of obese patients were stone- free per CT scan at follow- up, compared to 77.5 percent of normal- weight patients (p [ 0.089). According to Clavien Dindo classi fi cation, six patients in the non-obese group experienced grade II (10%) and grade III (2%) complications, as opposed to fi ve patients in the obese group with grade I (2%), grade II (6%), and grade III (2%) complications. CONCLUSIONS: There was no signi fi cant correlation between body mass index and the or safety of ultrasound- guided PCNL. Although more challenging, a higher BMI should not be an impediment to performing this approach. This method is safe, with no increased incidence of postoperative complications or compromise in stone- free status post- operatively, and can diminish or even avoid both patient's and medical team's exposure to ionizing radiation.
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结果:本研究共纳入98例连续患者,每组49例。两组在结石体积(p[0.085)、结石密度(p[0.5590)、肾通路位置(p[0.108)、手术时间(p[0.38)、出血量(p[0.54)、术后实验室检查结果(p[0.60)方面差异无统计学意义。91.84%的肥胖患者随访时CT扫描无结石,而正常体重患者为77.5% (p[0.089])。根据Clavien Dindo分类,非肥胖组有6例患者出现II级(10%)和III级(2%)并发症,而肥胖组有5例患者出现I级(2%)、II级(6%)和III级(2%)并发症。结论:体重指数与超声引导下PCNL的安全性无显著相关性。虽然更具有挑战性,但较高的BMI不应该成为实施这种方法的障碍。这种方法是安全的,不会增加术后并发症的发生率或危及术后无结石状态,并且可以减少甚至避免患者和医疗团队暴露于电离辐射。
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