超声引导经皮肾镜气压弹道联合超声碎石清石术治疗复杂上尿路结石分析  

Ultrasound Guided Percutaneous Nephrolithotomy Pneumatic Lithotripsy Combined With Ultrasonic Lithotripsy in the Treatment of Complex Upper Urinary Calculi

作　　者：张可勇 慈淑华[2] 

机构地区：[1]山东省荣成市中医院泌尿外科,山东荣成264300 [2]山东省荣成市人民医院儿科,山东荣成264300

出　　处：《中国卫生标准管理》2017年第27期33-35,共3页China Health Standard Management

摘　　要：目的研究超声引导经皮肾镜气压弹道联合超声碎石清石术治疗复杂上尿路结石。方法根据随机数字表方法对2016年2月—2017年2月60例复杂上尿路结石患者分组。对照组采用体外震波碎石治疗,研究组采用超声引导经皮肾镜气压弹道联合超声碎石清石术治疗。就两组患者单侧手术开展时间、手术过程出血量、住院平均时间和复杂上尿路结石清除率、出血、肾周血肿等并发症发生率进行比较。结果研究组复杂上尿路结石清除率明显高于对照组,P<0.05。研究组出血、肾周血肿等并发症发生率明显低于对照组,P<0.05。研究组患者单侧手术开展时间短于对照组,P<0.05。而两组手术过程出血量、住院平均时间差异无统计学意义,P>0.05。结论超声引导经皮肾镜气压弹道联合超声碎石清石术治疗复杂上尿路结石效果确切,可有效碎石和缩短操作时间,减少并发症发生,提高结石清除率。Objective To study the effect of percutaneous nephrolithotomy pneumatic lithotripsy combined with ultrasound lithotripsy in the treatment of complex upper urinary calculi. Methods From February 2016 to February 2017, 60 patients with complex upper urinary calculi were divided into two groups according to the random number table method. The control group was treated with extracorporeal shock wave lithotripsy. The study group was treated with ultrasound guided percutaneous nephrolithotomy combined with ultrasound lithotripsy. The incidence of complications such as unilateral operation time, the amount of bleeding during operation, the average hospitalization time and the complication rate of complex upper urinary calculi, hemorrhage, perirenal hematoma were compared between the two groups. Results The removal rate of complicated upper urinary tract stones in the study group was significantly higher than that in the control group （P 〈 0.05）. The incidence of complications such as hemorrhage and perirenal hematoma was significantly lower in the study group than in the control group （P 〈 0.05）. The duration of unilateral operation was shorter in the study group than in the control group （P 〈 0.05）. There was no significant difference in the average amount of bleeding between the two groups （P 〉 0.05）. Conclusion Ultrasound guided percutaneous nephrolithotomy combined with ultrasound lithotripsy in the treatment of complex upper urinary calculi is effective, can effectively reduce the operation time and reduce the occurrence of complications, improve the removal rate of stones.

关 键 词：超声引导 经皮肾镜气压弹道 超声碎石清石术 复杂上尿路结石 

分 类 号：R692[医药卫生—泌尿科学]