摘要
目的探究儿童泌尿系统结石应用超微通道经皮肾镜取石术治疗的价值。方法选取2019年1—12月该院收治的150例泌尿系统结石患儿为研究对象。依据手术方式的不同分为A组(80例)和B组(70例),A组患儿采用超微通道经皮肾镜取石术治疗,B组患儿采用经输尿镜下气压弹道膀胱碎石术治疗,比较两组患儿经治疗后的相关指标、结石清除率、肾功能及并发症发生率。结果A组患儿手术时间(36.52±7.33)min、术中出血量(46.33±6.55)mL、住院时间(6.77±1.06)d均低于B组,差异有统计学意义(t=2.754、3.093、3.263,P<0.05);两组患儿结石清除率对比,差异无统计学意义(χ^(2)=0.342,P=0.559);术后,A组脂质运载蛋白(NGAL)(4.11±0.57)μg/L、血清胱抑素(Cys-C)(560.12±60.33)μg/L指标水平显著低于B组,差异有统计学意义(t=3.087、11.698,P<0.05);两组患儿并发症发生率对比,差异无统计学意义(P>0.05)。结论超微通道经皮肾镜取石术治疗儿童泌尿系统结石具有一定优势,如手术时间、术中出血量、住院时间以及肾功能均明显更优,值得临床推广。
Objective To explore the therapeutic value of ultra-micro-channel percutaneous nephrolithotomy in children with urinary calculi.Methods 150 children with urinary calculi admitted to the hospital from January to December 2019 were selected as subjects.According to the different surgical methods,the patients were divided into group A(80 cases)and group B(70 cases).The patients in group A were treated with ultramicro-channel percutaneous nephrolithotomy,and the patients in group B were treated with pneumatic ballistic bladder lithotripsy under urology.The related indexes,stone clearance rate,renal function and complication rate of the two groups after treatment were compared.Results The operation time(36.52±7.33)min,intraoperative blood loss(46.33±6.55)mL,and hospitalization time(6.77±1.06)d in group A were lower than those in group B,and the differences were statistically significant(t=2.754,3.093,3.263,P<0.05).There was no statistically significant difference in stone clearance rate between the two groups(χ^(2)=0.342,P=0.559);after operation,the levels of NGAL(4.11±0.57)μg/L and Cys-C(560.12±60.33)μg/L in group A were significantly lower than those in group B,and the differences were statistically significant(t=3.087,11.698,P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Ultra-microchannel percutaneous nephrolithotomy has certain advantages in the treatment of urinary calculi in children,such as operation time,intraoperative blood loss,hospitalization time and renal function are significantly better,and it is worthy of clinical promotion.
作者
刘恩伟
黄金星
史振峰
李金秀
LIU Enwei;HUANG Jinxing;SHI Zhenfeng;LI Jinxiu(Department of Urology,Shache County People's Hospital,Kashgar,Xinjiang Uygur Autonomous Region,844700 China)
出处
《世界复合医学》
2022年第1期29-32,共4页
World Journal of Complex Medicine
基金
新疆维吾尔自治区自然科学基金资助项目(2017D01A17)。
关键词
儿童
泌尿结石
超微通道经皮肾镜取石术
肾功能
安全性
Children
Urinary calculi
Ultra-microchannel percutaneous nephrolithotomy
Renal function
Safety
