Spiral CT Three-dimensional Reconstruction Technology Assisted Percutaneous Nephrolithotripsy in the Treatment of Complex Kidney Stones and Analysis of Postoperative Complications
Objective:To investigate the efficacy of percutaneous nephrolithotripsy(PCNL)assisted by Siemens 64-slice spiral CT three-dimensional reconstruction technology in the treatment of complex kidney stones and its impact on postoperative complications.Methods:A prospective study was conducted on 102 patients with complex kidney stones admitted between January 2019 and January 2.023.They were randomly divided into a control group(n=51,receiving only PCNL)and an observation group(n=51,receiving PCNL assisted by Siemens 64-slice spiral CT three-dimensional reconstruction technology).Results:Compared with the operation time of the control group(119.52±25.85 min),the operation time of the observation group(78.96±17.23 min)was significantly reduced(P＜0.001).Compared with the intraoperative blood loss of the control group(115.25±18.74 mL),.the intraoperative blood loss of the observation group(85.65±12.36 mL)was significantly reduced(P＜0.001).The one-time puncture success rate and stone clearance rate in the observation group were 100％and 96.08％,respectively,which were significantly higher than those in the control group(P＜0.05).The levels of kidney injury molecule-1(KIM-1),cystatin C(Cys-C),and neutrophil gelatinase-associated lipocalin(NGAL)increased at 24 h and 72 h postoperatively in both groups,with the observation group showing significantly higher levels than the control group(P＜0.05).Conclusion:Spiral CT scanning technology assisting PCNL in the treatment of complex kidney stones significantly improves surgical efficiency and stone clearance rate,reduces intraoperative blood loss and postoperative complication rates,and has a minimal impact on renal function.It has clinical application and promotion value.
万方数据
维普
