经皮微创肾镜碎石术对上尿路结石患者并发症及疼痛程度的影响  

Complications and pain degree influence of percutaneous minimally invasive nephrolithotripsy on patients with urinary stones

作　　者：李灿永 曹彬[1] 

机构地区：[1]广东省中山市人民医院泌尿外科一区,广东中山528400

出　　处：《国际泌尿系统杂志》2017年第5期688-691,共4页International Journal of Urology and Nephrology

摘　　要：目的 探讨经皮微创肾镜碎石术对上尿路结石患者并发症及疼痛程度的影响.方法 回顾性分析2012年9月至2015年12月期间本院确诊治疗的上尿路结石患者100例,依据治疗方法分为对照组和微创组,每组50例,对照组患者给予传统输尿管切开取石术治疗,微创组患者给予经皮微创肾镜碎石术治疗,采用视觉模拟评分法（VAS）评估患者疼痛程度,统计分析所有患者结石清除情况、术中出血量、手术、血尿转清、住院时间和术前、术后1、3、5d的疼痛及并发症发生情况.结果 对照组和微创组患者一次结石清除率基本相同,比较差异无统计学意义（P＞0.05）;微创组患者术中出血量、手术、血尿转清、住院时间明显低于对照组,差异有统计学意义（P＜0.05）.微创组患者术后1、3、5d的VAS得分明显低于对照组,差异有统计学意义（P＜0.05）.微创组患者并发症发生率明显低于对照组,有显著性差异（P＜0.05）.结论 经皮微创肾镜碎石术治疗上尿路结石疗效确切,可有效减少患者术中创伤和术后并发症的发生,缓解患者疼痛症状,有利于患者身体的恢复,值得临床进一步推广.Objective To investigate the complications and pain degree influence of percutan eous minimally invasive nephrolithotripsy on patients with urinary stones.Methods Clinical data of 100 patients with urinary stones were retrospectively analyzed from September 2012 to December 2015 in our hospital.According to the treatment,all patients were divided into control group and minimally invasive group,50 cases in each group,the patients in the control group were given the traditional treatment of ureteral incision and lithotomy,the patients in the minimally invasive group were given percutaneous minimally invasive nephrolithotripsy,visual analoguescale （VAS） was used to evaluate the pain degree of patient,elimination of all patients with calculi,intraoperative blood loss,operative process,hematuria turning clear time,hospital stays and pain and complications before and 1,3,5 days after operation were analyzed.Results There was no significant difference in stone clearance between the control group and minimally invasive group（P ＞0.05）.Intraoperative blood loss,operative process,hematuria turning clear time,hospital stays in the minimally invasive group were significantlylower than the control group（P ＜ 0.05）.VAS score of minimally invasive group 1,3,5 days after operation were significantly lower than the control group （P ＜ 0.05）.The incidence of complications in the minimally invasive group was obviously lower than the control group （P ＜ 0.05）.Conclusions Percutaneous minimally invasive nephrolithotripsy on the treatment of urinary stones is effective,it can reduce patients＇ intraoperative trauma and postoperative complications,alleviate pain,it＇s beneficial to the recovery of patients＇body,it＇s worth for further clinical promotion.

关 键 词：尿路结石 肾结石 肾造口术 经皮 碎石术 疼痛 

分 类 号：R699[医药卫生—泌尿科学]