摘要
目的:探讨微通道经皮肾镜碎石术应用于鹿角状结石治疗的临床疗效及安全性。方法:选择2018年6月~2019年3月某院收治的复杂性肾结石患者126例,采用随机数字表法分为观察组和对照组各63例,观察组行微通道经皮肾镜碎石术,对照组行标准通道经皮肾镜碎石术,比较两组患者的结石清除率、术后恢复指标(下床活动时间、住院时间、术后24h血红蛋白以及肌酐以及术后并发症发生率)。结果:两组结石清除率对比无差异(P>0.05);观察组患者的下床活动时间和住院时间较对照组明显缩短,术后24h Hb明显高于对照组,Scr明显低于对照组,差异显著(P<0.05);观察组患者的术后并发症发生率明显低于对照组,差异显著(P<0.05)。结论:微通道经皮肾镜治疗复杂性肾结石的结石清除率高,有助于缩短术后康复时间,术后并发症少,安全性高。
Objective:To explore the clinical efficacy and safety of microchannel percutaneous nephrolithotripsy in the treatment of staghorn calculus.Methods:From June 2018 to March 2019,126 patients with complicated kidney stones admitted to a hospital were divided into observation group and control group by random number table method,with 63 cases in each group.The observation group underwent microchannel percutaneous nephrolithotomy lithotomy,and the control group underwent standard channel percutaneous nephrolithotripsy.The stone clearance rate and postoperative recovery indexes(time to get out of bed,length of stay in hospital,hemoglobin and creatinine at 24 hours postoperatively,and incidence of postoperative complications)were compared between the two groups.Results:There was no difference in stone clearance rate between the two groups(P>0.05).The time of getting out of bed and hospitalization in the observation group were significantly shorter than those in the control group.Hb was significantly higher than that in the control group at 24 hours after operation,and Scr was significantly lower than that in the control group(P<0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group,the difference was significant(P<0.05).Conclusion:Microchannel percutaneous nephroscopy has high stone clearance rate in the treatment of complicated kidney stones,which helps to shorten the postoperative recovery time,with fewer postoperative complications and high safety.
作者
焦建伟
刘亚丽
张雯梦
Jiao Jianwei;Liu Yali;Zhang Wenmeng(Xuchang Hospital of Traditional Chinese Medicine,Xuchang 461000)
出处
《数理医药学杂志》
CAS
2021年第9期1303-1305,共3页
Journal of Mathematical Medicine
关键词
微通道
标准通道
经皮肾镜碎石术
复杂性肾结石
microchannel
standard channel
percutaneous nephrolithotripsy
complicated kidney stones
