摘要
目的:探究简化微通道经皮肾镜取石术在(MPCNL)治疗上尿路结石的临床效果。方法:应用随机数字表法将72例赣州市赣县区人民医院泌尿外科2019年6月—2022年6月收治的上尿路结石患者分为两组,每组36例。对照组采用标准MPCNL术,观察组采用简化MPCNL术治疗。比较两组围术期指标、肾盂内压及一期结石清除率。结果:观察组手术时间长于对照组,术中出血量少于对照组,肾盂内压小于对照组,差异有统计学意义(P<0.05)。两组一期结石清除率比较,差异无统计学意义(P>0.05)。结论:简化MPCNL术在上尿路结石治疗中获得较好效果,能够有效提高一期结石清除率,术中出血量较少,术后肾盂内压较低,利于促进术后快速康复,值得推广应用。
Objective:To explore the clinical effect of simplified microchannel percutaneous nephrolithotomy(MPCNL)in the treatment of upper urinary tract stones.Methods:72 patients with upper urinary tract stones admitted to the Department of Urology,Ganxian District People’s Hospital,Ganzhou City from June 2019 to June 2022 were divided into two groups by random number table method,36 cases in each group.The control group was treated with standard MPCNL,and the observation group was treated with simplified MPCNL.The perioperative indicators,renal pelvis pressure and one-stage stone clearance rate were compared between the two groups.Results:The operation time of the observation group was longer than that of the control group,the intraoperative blood loss was less than that of the control group,and the renal pelvis pressure was less than that of the control group,the difference was statistically significant(P<0.05).There was no significant difference in the primary stone clearance rate between the two groups(P>0.05).Conclusion:Simplified MPCNL surgery has achieved good results in the treatment of upper urinary tract stones,which can effectively improve the primary stone clearance rate,reduce intraoperative bleeding,and lower postoperative renal pelvic pressure.It is beneficial for promoting rapid postoperative recovery and is worth promoting and applying.
作者
徐开鑫
衷壬香
王建英
李优苼
廖文成
祝家兴
Xu Kaixin(Department of Urology,Ganxian District People’s Hospital,Ganzhou Jiangxi 341000)
出处
《黑龙江医药》
CAS
2024年第4期761-764,共4页
Heilongjiang Medicine journal
基金
江西省卫生健康委科技计划(项目编号:202312156)
赣州市科技计划项目(项目编号:20222ZDX9867)。
关键词
上尿路结石
简化微通道经皮肾镜取石术
标准微通道经皮肾镜取石术
围术期指标
Upper urinary tract calculus
Simplified percutaneous nephrolithotomy via microchannel
Standard microchannel percutaneous nephrolithotomy
Perioperative indexes
