摘要
目的 探讨部分无管化标准通道经皮肾镜碎石术（PCNL）在治疗上尿路结石方面的可行性及安全性.方法 2013年8月至2015年3月,共有50例符合标准的患者纳入临床随机对照试验研究.患者被随机分成部分无管化PCNL组和标准PCNL组,两组间在年龄、性别及结石面积无显著性差异.观察手术时间、血液丢失量、术后疼痛指数、住院时间及并发症数等相关指标.结果 所有患者均手术成功,部分无管化PCNL与标准PCNL比可减轻术后患者疼痛评分[（3.61±1.52）、（5.85±1.73）分,P＜0.05],缩短患者住院时间[（5.24±1.26）、（6.96±2.03）d,P＜0.05].两组在手术时间、出血量及并发症数方面无显著性差异.结论 部分无管化PCNL治疗特定上尿路结石患者是安全可行的.
Objectives To investigate the feasibility and safety of partial tubeless standard tract percutaneous nephrolithotomy （PCNL）.Methods Fifty patients who meet the standards were enrolled in a prospective randomized controlled trial form August 2013 to March 2015.These patients were randomly divided into two groups：partial tubeless PCNL and standard PCNL.There was no significant difference in age,sex and stone area between two groups.Factors evaluated included operative time,postoperative pain,blood loss,postoperative hospital stay,and postoperative complications.Results All the 50 patients were treated successfully.Compared with standard PCNL,partial tubeless had additional advantages in postoperative pain [（3.61 ± 1.52） vs.（5.85 ± 1.73）,P 〈 0.05] and hospital stay [（5.24 ± 1.26） vs.（6.96 ± 2.03）,P 〈 0.05];while there were no differences in operative time,blood loss and postoperative complications.Conclusions Partial tubeless PCNL can be considered as safe and feasible treating selective patients with upper urinary calculi.
出处
《国际泌尿系统杂志》
2016年第2期181-184,共4页
International Journal of Urology and Nephrology
关键词
尿路结石
肾造口术
经皮
碎石术
Urinary Calculi
Nephrostomy, Percutaneous
Lithotripsy
