首页|多通道统一穿刺PCNL和多通道先后穿刺PCNL治疗复杂性多发肾结石的效果

多通道统一穿刺PCNL和多通道先后穿刺PCNL治疗复杂性多发肾结石的效果

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目的:观察多通道统一穿刺经皮肾镜取石术(PCNL)和多通道先后穿刺PCNL治疗复杂性多发肾结石的效果。方法:选取 2019 年 11 月—2022 年 11 月庆阳市人民医院泌尿外科收治的 80 例复杂性多发肾结石患者作为研究对象。根据红蓝双色球法随机将其分为常规组(n=40)和观察组(n=40)。常规组给予多通道先后穿刺PCNL,观察组给予多通道统一穿刺PCNL。比较两组结石清除率,围手术期指标及疼痛程度,并发症。结果:观察组结石清除率为 90。00%,高于常规组的70。00%,差异有统计学意义(P<0。05)。两组术中出血量、手术时间、术后 12 h视觉模拟评分法(VAS)评分、住院时间比较,差异无统计学意义(P>0。05)。两组并发症发生率比较,差异无统计学意义(P>0。05)。结论:多通道统一穿刺PCNL治疗能够显著提高结石清除效果,避免结石残留。
Effect of Multi-channel Unified Puncture PCNL and Multi-channel Successively Puncture PCNL in the Treatment of Complex Multiple Kidney Stones
Objective:To observe the effect of multi-channel unified puncture percutaneous nephrolithotomy(PCNL)and multi-channel successively puncture PCNL in the treatment of complex multiple kidney stones.Method:A total of 80 patients with complex multiple kidney stones admitted to the Department of Urology of Qingyang People's Hospital from November 2019 to November 2022 were selected as the study objects.They were randomly divided into the conventional group(n=40)and the observation group(n=40)according to the red and blue bicolor sphere method.The conventional group was given multi-channel successively puncture PCNL,and the observation group was given multi-channel unified puncture PCNL.The stone clearance rate,perioperative indexes,pain degree and complications were compared between the two groups.Result:The stone clearance rate of observation group was 90.00%,which was higher than 70.00%of conventional group,and the difference was statistically significant(P<0.05).There were no significant differences in intraoperative blood loss volume,operation time,visual analogue scale(VAS)score at 12 h after operation and hospital stay between the two groups(P>0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Multi-channel unified puncture PCNL treatment can significantly improve the effect of stone clearance and avoid stone residue.

Complex multiple kidney stonesMulti-channelPercutaneous nephrolithotomyStone clearance rateComplications

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庆阳市人民医院 甘肃 庆阳 745000

复杂性多发肾结石 多通道 经皮肾镜取石术 结石清除率 并发症

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(2)
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