单通道经皮肾镜取石术联合输尿管软镜治疗鹿角状肾结石的临床效果分析  

Analysis on the clinical effect of single channel percutaneous nephrolithotomy combined with flexible ureteroscope in the treatment of staghorn nephrolithiasis

作　　者：王武 

机构地区：[1]厦门市海沧医院泌尿外科,福建厦门361000

出　　处：《中国现代医生》2017年第26期48-50,54,共4页China Modern Doctor

摘　　要：目的探讨单通道经皮肾镜取石术联合输尿管软镜治疗鹿角状肾结石的临床效果。方法选择2016年1月~2017年1月76例鹿角状肾结石患者作为研究对象,根据不同手术方法分组,每组各38例。对照组采用单通道经皮肾镜取石术进行治疗,研究组采用单通道经皮肾镜取石术联合输尿管软镜治疗。比较两组鹿角状肾结石治疗效果;平均住院时间、手术完成的时间;干预前后患者生存质量;周围脏器损伤、液气胸等并发症发生率。结果研究组鹿角状肾结石治疗效果高于对照组(P<0.05);研究组平均住院时间、手术完成时间短于对照组(P<0.05);干预前两组生存质量比较差异无统计学意义(P>0.05);干预后研究组生存质量优于对照组(P<0.05)。研究组患者周围脏器损伤、液气胸等并发症发生率显著低于对照组(P<0.05)。结论单通道经皮肾镜取石术联合输尿管软镜治疗鹿角状肾结石的临床效果确切,可有效清除结石,缩短手术和住院时间,减少创伤,提高患者生存质量,值得推广。Objective To investigate the clinical effect of single channel percutaneous nephrolithotomy combined with flexible ureteroscope in the treatment of staghorn nephrolithiasis. Methods The patients with staghorn nephrolithiasis from January 2016 to January 2017 were selected as the study subjects and were assigned to groups according to different surgery methods, with 38 cases in each group. The control group was given single channel percutaneous nephrolithotomy, and the study group was given single channel percutaneous nephrolithotomy combined with flexible ureteroscopy.The curative effect of staghorn nephrolithiasis; the average length of hospital stay, the completion time of the operation;the quality of life of patients before and after intervention; incidence rates of surrounding organ damage, fluid pneumothorax and other complications were compared between the two groups. Results The curative effect of staghorn nephrolithiasis in the study group was higher than that in the control group（P〈0.05）; the average length of hospital stay and the completion time of operation in the study group was shorter than that in the control group（P〈0.05）; the quality of life in the two groups before intervention,the difference was no statistically significant（P〉0.05）; the quality of life in the study group was better than that in the control group after intervention（P〈0.05）. The incidence rate of complications such as surrounding organ damage and fluid pneumothorax was significantly lower in the study group than that in the control group（P〈0.05）. Conclusion The clinical effect of single channel percutaneous nephrolithotomy combined with flexible ureteroscopy in the treatment of staghorn nephrolithiasis is exact, which can effectively remove stones,shorten the operation time and length of hospital stay, reduce trauma, improve patients＇ quality of life, and is worthy of promotion.

关 键 词：单通道经皮肾镜取石术 输尿管软镜 鹿角状肾结石 并发症 

分 类 号：R692.4[医药卫生—泌尿科学]