Pielolitotomía y nefrolitotomía convencionales en nefrolitiasis coraliforme resultados morfológicos y funcionales
Fecha
2019
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La Pielolitotomía y la Nefrolitotomía convencionales son procedimientos frecuentes en
Urología para la resolución de litiasis coraliforme renal con mejores resultados. Estos métodos
son los que en nuestro medio se encuentran a disposición. Objetivo. Evaluar los resultados
funcionales y morfológicos de la Pielolitotomía y Nefrolitotomía Convencional en pacientes
atendidos en el Hospital de Especialidades “Teodoro Maldonado Carbo”, período mayo del
2018 hasta abril del 2019. Materiales y métodos. Estudio de tipo correlacional, de corte
transversal de diseño No experimental. Se efectuó a partir de la base de datos del servicio de
Urología y corroborando los mismos en el sistema ASS-400, en una población de 250
pacientes. Resultados. mayormente fueron de 49 años de edad; el IMC promedio fue de 31; del
total de pacientes el 53.2% fueron hombres; el 44.4% tuvieron obesidad leve; un 33.2%
presentó dentro de las comorbilidades hipertensión arterial y otras enfermedades; el 44.8%
registró un diagnóstico imagenológico incompleto; del total de pacientes el 61.2% se realizó
pielolitotomia y el 38.8% nefrolitotomia; el 55.6% se realizó el procedimiento en el riñón
derecho. . Se aplicó la prueba estadística chi cuadrada, donde se obtuvo un valor p de 0.00
menor a 0.05 por lo que las diferencias observadas entre el estadio de la enfermedad al inicio
y al final en pacientes que fueron sometidos al procedimiento de pielolitotomia y nefrolitotomia
son estadísticamente significativas. Conclusiones. Los resultados funcionales y morfológicos
posquirúrgicos de la Pielolitotomía Convencional son superiores a los de la Nefrolitotomía
Convencional.
The conventional Pielolitotomy and Nephrolithotomy with frequent procedures in Urology for the resolution of renal staghorn lithiasis with better results. These methods are those that are available in our environment. Objective. To evaluate the functional and morphological results of the Pielolitotomy and Conventional Nephrolithotomy in patients treated at the specialty hospital "Teodoro Maldonado Carbo", period May 2018 to April 2019. Materials and methods. Correlational type study, of a non-experimental design. It was carried out from the Urology service database and corroborated in the ASS-400 system, in a population of 250 patients. Results they were mostly 49 years old; the average BMI was 31; of the total patients, 53.2% were men; 44.4% had mild obesity; 33.2% presented hypertension and other diseases within comorbidities; 44.8% recorded an incomplete imaging diagnosis; 61.2% of the total patients underwent pyelolithotomy and 38.8% nephrolithotomy; 55.6% performed the procedure on the right kidney. . The chi-square statistical test was applied, where a p-value of 0.00 less than 0.05 was obtained, so the differences observed between the stage of the disease at the beginning and at the end in patients who underwent the procedure of pielolitotomy and nephrolithotomy are statistically significant. Conclusions The postoperative functional and morphological results of the Conventional Pielolitotomy are superior to those of the Conventional Nephrolithotomy.
The conventional Pielolitotomy and Nephrolithotomy with frequent procedures in Urology for the resolution of renal staghorn lithiasis with better results. These methods are those that are available in our environment. Objective. To evaluate the functional and morphological results of the Pielolitotomy and Conventional Nephrolithotomy in patients treated at the specialty hospital "Teodoro Maldonado Carbo", period May 2018 to April 2019. Materials and methods. Correlational type study, of a non-experimental design. It was carried out from the Urology service database and corroborated in the ASS-400 system, in a population of 250 patients. Results they were mostly 49 years old; the average BMI was 31; of the total patients, 53.2% were men; 44.4% had mild obesity; 33.2% presented hypertension and other diseases within comorbidities; 44.8% recorded an incomplete imaging diagnosis; 61.2% of the total patients underwent pyelolithotomy and 38.8% nephrolithotomy; 55.6% performed the procedure on the right kidney. . The chi-square statistical test was applied, where a p-value of 0.00 less than 0.05 was obtained, so the differences observed between the stage of the disease at the beginning and at the end in patients who underwent the procedure of pielolitotomy and nephrolithotomy are statistically significant. Conclusions The postoperative functional and morphological results of the Conventional Pielolitotomy are superior to those of the Conventional Nephrolithotomy.
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Palabras clave
Pielolitotomía, Nefrolitotomía, Nefrolitiasis coraliforme, Urología, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Cálculos coraliformes