Farklı Kronik Böbrek Hastalığı Evrelerinde Perkütan Nefrolitotominin Operatif Sonuçları

Öz

Amaç: Kronik böbrek hastalığının (KBH) farklı evrelerinde yapılan perkütan nefrolitotomi (PCNL) sonuçlarını karşılaştırmayı amaçladık. Gereç ve Yöntemler: Preoperatif eGFR düzeyleri 90 ml / dak / 1.73 m2'nin altında olan ve PCNL uygulanan 208 hasta retrospektif olarak incelendi. Hastalar GFR düzeylerine göre üç gruba ayrıldı. Grup A: eGFR 60-90 ml / dak / 1.73 m2, aşama II CKD, Grup B: eGFR = 30-59 ml / dak / 1.73 m2, evre III CKD, Grup C: eGFR <30 ml / dak / 1.73 m2, aşama IV / V CKD. PCNL sonuçları gruplar arasında karşılaştırıldı. Bulgular: A, B ve C gruplarında klinik olarak anlamlı olmayan taşsızlık oranları sırasıyla% 91,4,% 88,9 ve% 86,6 idi ve gruplar arasında anlamlı fark yoktu (p = 0,56, 0,40 ve 0.67, sırasıyla). Üç grup arasında komplikasyonlar açısından anlamlı fark görülmedi ve en sık görülen komplikasyonlar transfüzyon gerektiren kanama (% 12,5) ve ateş (% 12,1) idi (p> 0,05). Her üç grupta da birer hastaya kontrolsüz hematüri nedeniyle anjiyoembolizasyon yapıldı. Sonuç: KBH ve üriner taş hastalığı önemli halk sağlığı problemleridir. Bu hasta grubu hakkında daha fazla bilgi edinmek için daha fazla çalışmaya ihtiyaç vardır

Anahtar Kelimeler

• böbrek taşı
• Kronik böbrek hastalığı
• perkütan nefrolitotomi

Operative Outcomes of Percutaneous Nephrolithotomy in Different Chronic Kidney Disease Stages

Abstract

Kaynakça

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