摘要
目的：探讨体重指数（Body Mass Index，BMI）对微通道经皮肾镜取石术临床疗效的影响。方法前瞻性收集2010年5月～2013年12月入住我科且实施微通道经皮肾镜取石术患者160例，根据患者的体重指数分为正常组和肥胖组，统计分析两组患者的临床疗效。结果正常组和肥胖组患者性别、年龄、术中出血量、结石位置、住院时间、术后并发症均无统计学差异（P ＞0.05）；肥胖组的手术时间明显长于对照组（P ＜0.01），术后结石清除率低于对照组（P ＜0.05）。结论 BMI ＞30患者实施微通道经皮肾镜取石术是一种安全、可行的处理方法，但是术中应注意加强监护及术后残留结石的处理。
Objective To investigate the effects of BMI on the clinical eficacy of Minimally-access Percutaneous Nephrolithotomy. Methods 160 patients treated with Mini-PCNL were divided into the control group and obesity group according to the body mass index. The clinical eficacy of two groups were compared. Results There were not signiicantly statistical differences in sex, age, blood loss, stone position, hospital stays and postoperative complication between the two groups （P〈0.05）. The operative time in obesity group was longer than that in control group （P 〈0.01）. The stone-free rate in obesity group was lower than that in control group （P〈0.05）. Conclusion The Mini-PCNL in obese patients is a safe and feasible method, but strengthening monitoring and postoperative residual stone processing should be pay more attention.
出处
《中国继续医学教育》
2014年第3期1-3,共3页
China Continuing Medical Education
