摘要
目的对比部分无管化与留置肾造瘘管经皮肾镜取石术治疗上尿路结石的临床效果。方法选取本院2015年6月至2018年6月收治的92例上尿路结石患者,全部患者均行经皮肾镜取石术治疗,根据不同的置管方式将其分为两组各46例,对照组留置肾造瘘管,观察组采用部分无管化,不留置肾造瘘管,但体内留置双J管,比较两组患者的碎石效果、手术治疗情况及并发症发生情况。结果两组患者碎石成功率、手术时间、并发症发生率比较无明显差异(P>0.05);观察组漏尿时间、术后尿管留置时间均明显短于对照组(P<0.05);观察组术后1 d疼痛评分(5.91±1.24)分明显低于对照组的(6.63±1.38)分,术后住院时间(5.73±0.82)d明显短于对照组的(7.95±0.76)d(P<0.05);观察组术后双氯芬酸钠用量显著低于对照组(P<0.05)。结论部分无管化与留置肾造瘘管经皮肾镜取石术治疗上尿路结石疗效确切,安全性可靠,但前者能够有效减轻患者术后疼痛感,缩短患者术后恢复时间。
Objective To compare the clinical effects of partial tubeless and indwelling renal fistula percutaneous nephrolithotomy for upper urinary calculi.Methods A total of 92 patients with upper urinary calculi admitted to our hospital from June 2015 to June 2018 were enrolled.All patients underwent percutaneous nephrolithotomy.They were divided into two groups according to different catheterization methods.In the control group,the renal ostomy tube was indwelled.The observation group was partially tubeless,and the renal ostomy tube was not placed.However,the double"J"tube was placed in the body,and the lithotripsy effect,surgical treatment and complications were compared between the two groups.Results There was no significant difference in the success rate of calculus,operation time and complication rate between the two groups(P>0.05).The time of urinary leakage and postoperative urethral indwelling time in the observation group were significantly shorter than those in the control group(P<0.05).The pain score of the observation group(5.91±1.24)was significantly lower than that of the control group(6.63±1.38),and the postoperative hospital stay(5.73±0.82)d was significantly shorter than that of the control group(7.95±0.76)d(P<0.05);the amount of diclofenac sodium in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Partial tubeless and indwelling renal fistula percutaneous nephrolithotomy for the treatment of upper urinary calculi is effective and safe,but the former can effectively reduce postoperative pain and shorten the postoperative recovery time.
作者
张骞
ZHANG Qian(Shenyang Red Cross Hospital,Shenyang 110000,China)
出处
《中国医药指南》
2020年第12期155-156,共2页
Guide of China Medicine
关键词
部分无管化
造瘘管
上尿路结石
并发症
碎石
Partial tubeless
Fistula
Upper urinary tract stones
Complications
Gravel
