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微通道经皮肾镜碎石取石术对复杂性肾结石患者结石清除率及肾功能的影响

来源:用户上传      作者:刘军 汪小明

  摘 要 目的:探微通道经皮肾镜碎石取石术对复杂性肾结石患者结石清除率及肾功能的影响。方法:收集2020年4月至2021年4月接诊的复杂性肾结石患者84例,按照随机数字表对照法分为对照组和观察组各42例。对照组行标准通道经皮肾镜碎石取石术治疗,观察组行微通道经皮肾镜碎石取石术治疗。比较两组患者手术情况、术后恢复情况、结石一次性清除率、术后并发症情况以及手术前后肾功能指标变化情况。结果:观察组术中出血量、术后下床时间及术后住院时间均低于对照组(P<0.05)。观察组手术时间稍长于对照组。两组结石一次性清除率差异无统计学意义(P>0.05)。观察组术后并发症总发生率低于对照组(P<0.05)。两组手术前后血肌酐、尿素氮检测结果无明显变化(P>0.05)。结论:微通道经皮肾镜碎石取石术与标准通道经皮肾镜碎石取石术治疗复杂性肾结石效果相似,均对患者肾功能无明显影响,前者手术时间虽稍长于后者,但创伤更小、术后恢复更快、并发症更少,微创优势明显。
  关键词 复杂性肾结石;微通道经皮肾镜碎石取石术;标准通道经皮肾镜碎石取石术;结石清除率;肾功能
  中图分类号:R699.2 文献标志码:A 文章编号:1006-1533(2022)14-0033-04
  引用本文 刘军, 汪小明. 微通道经皮肾镜碎石取石术对复杂性肾结石患者结石清除率及肾功能的影响[J]. 上海医药, 2022, 43(14): 33-36.
  Effect of microchannel percutaneous nephrolithotomy on stone clearance rate and renal function in patients with complex renal calculi
  LIU Jun, WANG Xiaoming
  (Department of Urology of Traditional Chinese Medicine Hospital of Yudu, Jiangxi 342300, China)
  ABSTRACT Objective: To investigate the effect of microchannel percutaneous nephrolithotomy on stone clearance rate and renal function in patients with complex renal calculi. Methods: Eighty-four patients with complex renal calculi admitted from April 2020 to April 2021were collected, and according to the random number table control method, divided into a control group and an observation group with 42 cases in each. The control group was treated with standard channel percutaneous nephrolithotomy, and the observation group was treated with microchannel percutaneous nephrolithotomy. The surgical conditions, postoperative recovery, one-time stone clearance rate, postoperative complications, and changes in renal function indexes before and after surgery were compared between the two groups. Results: The amount of intraoperative bleeding, postoperative out of bed time and postoperative hospital stay in the observation group were lower than those in the control group(P<0.05). The operation time in the observation group was slightly longer than that in the control group. There was no significant difference in the one-time stone clearance rate between the two groups(P>0.05). The total incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05). There was no significant change in the detection results of serum creatinine and blood urea nitrogen before and after operation in the two groups(P>0.05). Conclusion: Microchannel percutaneous nephrolithotomy and standard channel percutaneous nephrolithotomy have similar effects in the treatment of complex renal calculi, and have no significant impact on patients’ renal function, and although the operation time of the former is slightly longer than that of the latter, the trauma is smaller, the postoperative recovery is faster, and the complications are less, and minimally invasive advantages are obvious.

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