鞘中鞘在经皮肾镜碎石取石中的临床应用  

Application of sheath of sheath in percutaneous nephrolithotomy

作　　者：汪海龙[1] 张宗平[1] 王安果[1] 伍季[1] 李云祥[1] 唐硕[1] WANG Haiiong ZHANG Zhongping WANG Anguo WU Ji LI Yunxiang TANG Shuo(Departmeng of Urology, Nanchong Central Hospital, Nanchong 637000, Sichuan, Chin)

机构地区：[1]川北医学院第二临床医学院.南充市中心医院泌尿外科,四川南充637000

出　　处：《西部医学》2017年第2期196-198,202,共4页Medical Journal of West China

基　　金：四川省教育厅资助项目(110623)

摘　　要：目的探讨鞘中鞘在经皮肾镜碎石取石中的临床应用价值。方法选择我院2014年1月~12月收治的118例肾结石患者,随机将患者分为实验组60例与对照组58例,实验组患者采用鞘中鞘经皮肾镜取石术,对照组患者采用F20单鞘经皮肾镜取石术。观察两组患者手术时间、结石清除率、手术并发症三项指标。结果 118例中一次性碎石成功99例,二次碎石成功5例,其中经肾上盏建立碎石通道61例,肾中盏建立碎石通道52例。实验组60例患者,结石取净55例,占病例总数的91.66%;对照组58例患者,结石取净44例,占病例总数的75.86%,经统计学分析,实验组患者手术时间缩短,结石取净率较高(P<0.05),手术并发症发生率较对照组低,差异无统计学意义(P>0.05)。结论鞘中鞘在经皮肾镜碎石取石中可缩短手术时间,提高结石清除率,不增加手术并发症及医疗成本,而且学习曲线低,熟悉掌握时间短,具有十分重要的临床意义。Objective To study the sheath sheath in the clinical application of percutaneous nephroscope lithotripsy and practical value. Methods 118 patients with kidney stones were divided into experimental group （60 cases） and control group （58 cases）. The experimental group was treated with sheath of sheath in percutaneous nephrolithotomy. The control group was treated with F20 single sheath in percutaneous nephrolithotomy. The operation time, stone clearance rate and complications were observed. Results There were 99 cases with once-- lithotomy success and 5 cases with twice-- lithotomy success. The calculus complete removal patients of experimental group and control group were 55 case （91.66%） and 44 cases （75.86%） （P〈0.05）. The operation time of experimental group was short than that of control group （P〈0.05）. The incidence of the two groups was not different （P〈0.05）. Conclusion The sheath of sheath in percutaneous nephrolithotomy can shorten the operation time and improve the calculi clearance rate.

关 键 词：鞘中鞘 皮肾镜碎石取石术 肾结石 

分 类 号：R692.4[医药卫生—泌尿科学]