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微创经皮肾穿刺碎石术治疗上尿路结石的临床效果分析

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目的 分析上尿路结石患者应用微创经皮肾穿刺治疗的临床效果.方法 随机选取2022年7月—2023年9月黔东南州中医医院泌尿外科收治的80例上尿路结石患者作为研究对象.按不同治疗方法将其分成两组,每组40例,对照组行尿道输尿管镜下碎石术治疗,观察组行微创经皮肾穿刺取石术治疗.对比两组一次性碎石成功率、并发症、术中出血量、手术时间及住院时间.结果 观察组患者的手术时间为(125.52±17.56)min,短于对照组的(135.21±20.46)min,观察组患者的术中出血量为(20.27±6.50)mL,低于对照组的(25.22±8.73)mL,观察组患者的住院时间为(7.10±1.40)d,短于对照组的(8.58±1.08)d,差异有统计学意义(t=2.273、7.548、3.651,P均<0.05).对照组患者的并发症总发生率为10.00%(4/40),高于观察组的2.50%(1/40),但差异无统计学意义(χ2=0.853,P>0.05);观察组的一次性碎石成功率为 92.50%(37/40),高于对照组的70.00%(28/40),差异有统计学意义(χ2=6.646,P<0.05).结论 通过微创经皮肾穿刺碎石术对上尿道结石治疗,缩短患者手术时间,降低并发症的发生率,对碎石一次成功率也有比较大的优势.
Analysis of the Clinical Effect of Minimally Invasive Percutaneous Nephro-lithotripsy in the Treatment of Upper Urinary Tract Stones
Objective To analyze the effect of minimally invasive percutaneous renal biopsy in the treatment of upper urinary tract calculi.Methods A total of 80 patients with upper urinary tract stones admitted to the Department of Urology in Qiandongnan Traditional Chinese Medicine Hospital from July 2022 to September 2023 were randomly se-lected as the study objects.They were divided into two groups according to different treatment methods,40 cases in each group.The control group received urethral ureteroscopic lithotripsy,and the observation group received mini-mally invasive percutaneous nephrolithotomy.The success rate of one-off lithotripsy,complications,intraoperative blood loss,operative time and hospital stay between the two groups were compared.Results The operation time of the observation group was(125.52±17.56)min,which was shorter than(135.21±20.46)min of the control group,the intra-operative blood loss of the observation group was(20.27±6.50)mL,which was lower than that of the control group(25.22±8.73)mL,the hospitalization time of the observation group was(7.10±1.40)d,which was shorter than that of the control group(8.58±1.08)d,the differences were statistically significant(t=2.273,7.548,3.651,all P<0.05).The total incidence of complications in control group was 10.00%(4/40),which was higher than that in observation group 2.50%(1/40),and but the difference was not statistically significant(χ2=0.853,P>0.05).The success rate of one-off lithotripsis in observation group was 92.50%(37/40),which was higher than that in control group 70.00%(28/40),and the difference was statistically significant(χ2=6.646,P<0.05).Conclusion Minimally invasive percutaneous nephroli-thotomy treatment of upper urethral calculi can shorten the operation time reduce the incidence of complications.

Upper urinary tract stonesSurgeryMinimally invasivePercutaneous nephrolithotomyComplications

陶明国、李良成

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黔东南州中医医院泌尿外科,贵州 凯里 556000

上尿路结石 手术 微创 经皮肾穿刺取石术 并发症

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(22)