摘要
目的分析无管化微通道经皮肾镜取石术(PCNL)治疗上尿路结石的疗效及安全性。方法选择2018年1月至2019年2月本院收治的上尿路结石患者80例,采用随机数字表法将患者分为观察组和对照组,各40例。对照组采用微通道PCNL,观察组采用无管化微通道PCNL,比较两组一般资料、手术相关指标及并发症发生情况,并评价临床疗效。结果观察组患者的术中出血量、手术时间、住院时间、肛门排气时间、术后首次下床活动时间、治疗总费用均明显低于对照组,差异有统计学意义(P<0.05);两组患者在治疗总有效率上比较,差异无统计学意义(P>0.05);观察组术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论无管化微通道PCNL治疗上尿路结石术后并发症发生率低,避免了患者因带管而引起的不适感且缩短了术后恢复时间,有一定的临床应用价值。
Objective To analyze the clinical efcacy and safety of"less tube"microchannel percutaneous nephrolithotomy for upper urinary calculi.Methods Eighty patients with upper urinary calculi who were hospitalized in our hospital from January 2018 to February 2019 were selected as.group study subjects.Patients were divided into observation group and control group by random number table method,40 cases in each group.The control group was treated with microchannel percutaneous nephrolithotomy.The observation group was treated with"non-tubular"microchannel percutaneous nephrolithotomy.The general data,surgical related indexes and complications were compared between the two groups,and the clinical efficacy was evaluated.Results The intraoperative blood loss of the observation group was significantly lower than that of the control group,and the operation time,hospitalization time,anal exhaust time,first time of bed-out activity,and total treatment cost were significantly lower in the observation group than in the control group.Statistical significance(P<0.05),and there was no significant difference in the total effective rate between the two groups(P>0.05).The inci-dence of postoperative complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions The"non-tubular"microchannel PCNL has a low incidence of postoperative urinary calculi,which avoids the dis-comfort caused by the tube and shortens the postoperative recovery time.It has certain clinical applica-tion value.
作者
王维国
夏菲
蒋欣杰
陈旭东
顿金庚
Wang Weiguo;Xia Fei;Jiang Xinjie;Chen Xudong;Dun Jingeng(Department of Urology,Xiangya Changde Hospital,Changde 415000,China)
出处
《国际泌尿系统杂志》
2020年第6期1020-1023,共4页
International Journal of Urology and Nephrology
基金
常德市科学技术局技术研究与开发资金项目(2018S055)。
关键词
尿路结石
肾造口术
经皮
导管
留置
Urinary Calculi
Nephrostomy,Percutaneous
Catheters,Indwelling
