摘要
目的探讨微通道经皮肾镜碎石取石术用于复杂性肾结石的治疗疗效。方法选择2019年3月至2021年3月济宁市第一人民医院收治的复杂性肾结石患者114例作为研究对象,根据术式不同分观察组54例和对照组60例。观察组行微通道经皮肾镜碎石取石术,对照组行标准通道经皮肾镜碎石取石术,比较两组患者的一次性结石清除率、手术指标(手术时间、碎石时间、下床活动时间、住院时间、术中出血量、术后24 h血红蛋白)及术后并发症发生率。结果两组均顺利完成手术,一次性结石清除率、手术时间、碎石时间差异无统计学意义(P>0.05);观察组患者的下床活动时间和住院时间短于对照组(t=8.586、11.420,Ps<0.05),术中出血量少于对照组(t=4.380,P<0.05),术后24h血红蛋白高于对照组(t=18.550,P<0.05),术后并发症低于对照组(χ^(2)=4.416,P<0.05)。结论微通道经皮肾镜碎石取石术治疗复杂性肾结石可有效清除结石,有助于缩短术后康复时间,尤其是减少术后并发症的发生,安全性高,值得临床推广。
Objective To investigate and analyze the therapeutic efficacy of microchannel percutaneous nephrolithotomy about complex kidney stones.Methods 114 patients with complex kidney stones admitted to Jining NO.1 People′s Hospital from March 2019 to March 2021 were selected as the study subjects.The patients were divided into the observation group with 54 cases and the control group with 60 cases according to the surgical procedure.The observation group was treated with microchannel percutaneous nephrolithotomy and the control group was treated with standard channel percutaneous nephrolithotomy.The one-time stone clearance rate,surgical indexes(operation time,lithotripsy time,postoperative out of bed time,hospitalization time,intraoperative bleeding volume,postoperative 24h hemoglobin)and postoperative complication rate were compared between the two groups.Results Both groups completed the surgery successfully,and the differences in one-time stone clearance rate,operation time and lithotripsy time were not statistically significant(P>0.05);the postoperative out of bed time and hospitalization time of patients in the observation group were significantly shorter than those in the control group(t=8.586、11.420,Ps<0.05),the intraoperative bleeding volume in the observation group was significantly less than that in the control group(t=4.380,P<0.05),the postoperative 24h hemoglobin in the observation group was significantly higher than that in the control group(t=18.550,P<0.05),the total incidence of postoperative complications was significantly lower than that in the control group,and the differences were statistically significant(χ^(2)=4.416,P<0.05).Conclusion Microchannel percutaneous nephrolithotomy about complex kidney stones can effectively remove stones and help to shorten the postoperative recovery time,especially to reduce the occurrence of postoperative complications.It is highly safe and worthy of clinical promotion and application.
作者
王雷
李明虎
孙煦勇
WANG Lei;LI Minghu;SUN Xuyong(Medical Department,Jining No.1 People′s Hospital,Jining 272011,China;Transplant Medical Center,The Second Affiliated Hospital of Guangxi Medical University.Guangxi Key Laboratory of Organ Donation and Transplantation.Guangxi Transplantation Medicine Research Center of Engineering Technology,Nanning 530007,China)
出处
《济宁医学院学报》
2023年第3期159-162,共4页
Journal of Jining Medical University
基金
山东省中医药科技项目(M-2022067)。
关键词
经皮肾镜碎石取石术
微通道
标准通道
复杂性肾结石
结石清除率
Percutaneous nephrolithotomy
Microchannel
Standard channel
Complex kidney stones
Stone removal rate
