微创经皮肾输尿管镜取石术治疗上尿路结石的疗效  

Curative effect of minimally invasive percutaneous nephrolithotomy on upper urinary tract calculi

作　　者：郭绍中 

机构地区：[1]河南省温县人民医院泌尿外科,454850

出　　处：《中国实用医刊》2015年第23期81-83,共3页Chinese Journal of Practical Medicine

摘　　要：目的 探讨微创经皮肾输尿管镜取石术治疗上尿路结石的临床疗效. 方法 选取入院治疗的上尿路结石患者88例作为研究对象,采用数字随机将患者分为对照组和观察组,对照组行标准经皮肾镜取石术治疗,观察组行微创经皮肾输尿管镜取石术治疗,记录手术时间、术中出血量、留置造瘘管时间、血尿转清时间,记录尿结石Ⅰ、Ⅱ、Ⅲ期结石清除率、输血率、术后并发症发生率. 结果 观察组手术时间为（96.35 ±11.26） min,高于对照组的（82.23 ±13.08）min;且术中出血量、留置造瘘管时间、血尿转清时间均低于对照组,差异有统计学意义（P〈0.05）. 观察组和对照组Ⅰ、Ⅱ、Ⅲ期结石清除率、输血率和术后并发症比较差异未见统计学意义（P〉0.05）. 结论与标准经皮肾镜取石术相比,微创经皮肾输尿管镜取石术可缩短上尿路结石患者术中出血量和留置造瘘管时间,提高临床疗效.Objective To investigate the curative effect of minimally invasive percutaneous nephrolithotomy on up -per urinary tract calculi .Methods Eighty-eight patients with upper urinary tract calculi were randomly divided into two groups .The control group were treated by percutaneous nephrolithotomy and the observation group were treated by minimal -ly invasive percutaneous nephrolithotomy .The duration of operation , peri-operative bleeding , indwelling tube colostomy time and hematuria turning clear time were recorded . The rate of stone clearance , transfusion and complications after operation in stageⅠ,Ⅱ,Ⅲof uri-nary tract calculi were recorded.Results The operation time of observation group[（96.35 ±11.26）min] was significant-ly longer than that of control group[（82.23 ±13.08）min]（P〈0.05）,while the peri-operative bleeding, indwelling tube colostomy time, hematuria turning clear time were significantly less than those of control group （P〈0.05）.There was no significantly difference in the rate of stone clearance , transfusion and complications after operation in stageⅠ,Ⅱ,Ⅲof u-rinary tract calculi between the two groups （P〉0.05）.Conclusions Minimally invasive percutaneous nephrolithotomy can reduce the peri-operative bleeding , indwelling tube colostomy time and improve the curative effect .

关 键 词：上尿路结石 经皮肾输尿管镜取石术 微创 Ⅰ期清除率 

分 类 号：R692[医药卫生—泌尿科学]