采用迷你经皮肾镜碎石术(mini-pcnl)治疗的肾结石患者概况:印度尼西亚占碑的单中心经验

Wyckmell Octof Ingratoeboen, Hendra Herman, Wendi Rachman, R. Fauzan, Ardiansyah
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引用次数: 0

摘要

研究目的本研究旨在描述在印度尼西亚占碑省本中心接受小型 PCNL 治疗的患者的特征。材料与方法:这是一项描述性研究,涉及 2017-2021 年期间在占碑接受迷你 PCNL 治疗的肾结石患者。研究对象的选择采用总体抽样法。所有患者在手术前都进行了病史采集和体格检查。手术由一家转诊地区医院的三名操作人员完成。研究结果从2017年到2021年,本中心共实施了188例迷你PCNL手术,用于清除肾结石。然而,由于数据不完整,在排除了 2 例病例后,只有 186 例病例被纳入本研究。本研究中患者的平均年龄为 49.3 岁(12-87 岁不等),男性患者占大多数(101/165 [61.21%])。在 186 例患者中,共有 175 例无残余结石,只有 11 例有残余结石(无石率 [SFR] 94.08%)。大多数患者伴有肾积水,186 例中有 44 例进行了 DJ 支架置入术。随着结石大小的增加,无石率也在下降。结论:事实证明,微型 PCNL 是治疗肾结石(尤其是中等大小和坚硬的结石)的重要选择,可提高患者疗效并减少术后并发症。关键词肾结石 迷你 PCNL 无石率
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PROFILE OF NEPHROLITHIASIS PATIENTS TREATED WITH MINI-PERCUTANEOUS NEPHROLITHOTOMY (MINI-PCNL): A SINGLE CENTER EXPERIENCE IN JAMBI, INDONESIA
Objective: This study aims to describe the characteristics of patients undergoing mini-PCNL at our center in Jambi, Indonesia. Material & Methods: This is a descriptive study involving patients with kidney stones treated with mini-PCNL during 2017 – 2021 in Jambi. The selection of the study subjects was using total sampling method. All patients had a medical history taken and a physical examination performed prior to surgery. The procedure was performed by three operators in one referral district hospital. Results: From 2017 to 2021, a total of 188 mini-PCNL procedures were performed at our center for the removal of kidney stones. However, only 186 cases were included in this study after excluding 2 due to incomplete data. The mean age of patients in this study was 49.3 years old (ranging from 12–87 years old) with the majority being male (101/165 [61.21%]). Of 186 cases, a total of 175 cases had no residual stone and only 11 had residual stone (stone-free rate [SFR] 94.08%). Most patients presented with hydronephrosis, and DJ stent placement was performed in 44 out of 186 cases. The SFR decreased as the stone size increased. Conclusion: Mini-PCNL proves to be a valuable choice for managing kidney stones, especially for medium-sized and hard stones, leading to enhanced patient results and reduced post-operative complications. Keywords: Kidney stone, mini-PCNL, stone free rate.
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