倒置排石床治疗肾下盏残石的临床研究  

Application of Inversion Table in Treatment of Lower Pole Renal Stone Fragments

作　　者：王博涵[1] 刘军[1] 姚炜敏[1] 夏丁[1] 余虓[1] 郭小林[1] 陈志强[1] 叶章群[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院泌尿外科,武汉430030

出　　处：《华中科技大学学报（医学版）》2012年第5期631-632,638,共3页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

基　　金：同济医院新技术新业务资助项目(No.2010016)

摘　　要：目的探讨倒置排石床辅助治疗肾下盏残石的作用。方法 79例经皮肾镜取石术(PCNL)、体外冲击波碎石术(SWL)和输尿管镜碎石术(URL)后出现肾下盏残石患者,残石直径小于4mm,随机、对照、单盲分为实验组和对照组。实验组40例患者使用倒置排石床治疗。对照组39例患者每日多饮水,保持尿量2 000mL以上。1个月后行腹部平片复查残石情况。结果实验组患者均顺利完成倒置排石床治疗。实验组和对照组患者年龄、性别、BMI及残石的大小差异无统计学意义(P>0.05)。肾脏的解剖参数如肾下盏长度、肾下盏肾盂夹角和肾下盏盏颈宽度实验组和对照组差异无统计学意义(P>0.05)。1个月后实验组的残石清除率达到75%而对照组仅为41%(P<0.05)。结论倒置排石床可提高肾下盏残石的清除率,可以作为PCNL、SWL和URL术后的辅助治疗方法。Objective To evaluate the effect of inversion table dealing with lower pole renal stone fragments.Methods Seventy-nine patients with renal fragments less than 4 mm after initial percutaneous nephrolithotomy（PCNL）,shock wave lithotripsy（SWL）,or ureteroscopic lithotripsy（URL）were randomly divided into two groups.Study group（n=40）was given inversion table,while control group（n=39）was given dieresis therapy with patients＇ urine volume more than 2 000 mL every day.Plain abdominal radiography（KUB）was performed one month after therapy.Results All patients in study group were treated with inversion table successfully.There was no statistically significant difference in gender,age,body mass index,stone diameter,infundibular length,infundibular pelvic angle or infundibular width between two groups.The stone clearance rate in study group and control group was 75% and 41% respectively（P0.05）.Conclusion The inversion table is an effective option for lower residual caliceal fragments after SWL,PCNL or URL.

关 键 词：倒置床 肾下盏 残石 

分 类 号：R692.4[医药卫生—泌尿科学]