经皮肾镜取石术治疗肾结石的效果及出血相关因素探究  

Percutaneous Nephrolithotomy for the Treatment of Renal Calculi and Related Factors of Bleeding

作　　者：王宇光[1] WANG Yu-guang(Department of Urology,the First Affiliated Hospital of Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou,Inner Mongolia,014100 China)

机构地区：[1]内蒙古科技大学包头医学院第一附属医院泌尿外科,内蒙古包头014100

出　　处：《中外医疗》2018年第31期85-87,共3页China & Foreign Medical Treatment

摘　　要：目的探讨经皮肾镜取石术治疗肾结石的效果及出血相关因素。方法方便选择2015年1月—2018年1月90例肾结石患者据术式分组。开放手术组开展传统手术治疗,经皮肾镜取石术组行经皮肾镜取石术治疗。比较效果。结果经皮肾镜取石术组肾结石手术干预效果44例(97.78%)高于开放手术组,差异有统计学意义(χ~2=8.389,P<0.05)。经皮肾镜取石术组手术开展时间、术中术后出血以及住院时间(42.21±1.11)mL、(82.01±2.61)min、(10.04±1.03)min、(8.13±1.21)d优于开放手术组(t=8.221、9.381、9.353、5.762,P<0.05);手术后经皮肾镜取石术组SF-36评分(90.24±6.14)分、(94.22±6.22)分、(92.54±6.21)分优于开放手术组,差异有统计学意义(P<0.05)。并发症率4例(8.89%)低于开放手术组,差异有统计学意义(χ~2=3.920 0,P<0.05)。结论肾结石患者行经皮肾镜取石术疗效理想,出血相关因素可能和复杂性肾结石或者复发性肾结石有关。Objective To investigate the effect of percutaneous nephrolithotomy in the treatment of renal calculi and related factors of bleeding. Methods 90 patients with kidney stones from January 2015 to January 2018 were enrolled according to the procedure. The open surgmT group underwent conventional surgical treatment, and percutaneous nephrolithotomy was performed by percutaneous nephrolithotomy and the results were compared. Results The effect of renal calculi in the percu- taneous nephrolithotomy group was 44 cases （97.78%） higher than that in the open surgery group, the different was statisti- cally significant （X2=8.389, P〈0.05）. Percutaneous nephrolithotomy group operation time, intraoperative and postoperative bleeding and hospitalization time （42.21 ±1.11）mL, （82.01 ±2.61）min, （ 10.04 ±1.03）min, （8.13 ±1.21 ）d were better than open surgery group, the different was statistically significant（t=8.221, 9.381, 9.353, 5.762, P〈0.05）; SF-36 scores of （90.24± 6.14）points, （94.22±6.22）points, and （92.54_±6.21）points were better in the percutaneous nephrolithotomy group than in the open surgery group, the different was statistically significant（P〈0.05）. The complication rate was 4 cases（8.89%） lower than that of the open surgery group, the different was statistically significant （X2=3.920 0, P〈0.05）. Conclusion Percutaneous nephrolithotomy is an effective method for patients with kidney stones. The bleeding related factors may be related to complicated kidney stones or recurrent kidney stones.

关 键 词：经皮肾镜取石术 肾结石 效果 出血 相关因素 

分 类 号：R699[医药卫生—泌尿科学]