“无管化”微通道经皮肾镜取石术治疗上尿路结石30例临床疗效分析  

Clinical analysis of "tubeless" microchannel percutaneous nephrolithotomy in the treatment of upper urinary calculi

作　　者：陈立红 邵秋阳 章永坚 张华平 吴坚 Chen Li-hong;Shao Qiu-yang;Zhang Yong-jian;Zhang Hua-ping;Wu Jian(Department of Urology, Duyun County People's Hospital, Jiujiang City, Jiangxi Province, Jiujiang, Jiangxi, 332600, China)

机构地区：[1]江西省九江市都昌县人民医院泌尿外科,江西九江332600

出　　处：《当代医学》2017年第32期49-51,共3页Contemporary Medicine

摘　　要：目的分析"无管化"微通道经皮肾镜取石术治疗上尿路结石临床疗效。方法选择2015年6月~2017年1月60例上尿路结石患者并随机分组,各30例。对照组采用微创经皮肾镜取石术治疗,无管化组则进行"无管化"微通道经皮肾镜取石术治疗。比较两组上尿路结石治疗总有效率;手术操作平均时间、取石过程出血情况、漏尿时间、平均住院时间;干预前后患者疼痛评分、QOL生活质量评分;术后镇痛率、并发症发生率。结果无管化组上尿路结石治疗总有效率高于对照组(P<0.05);无管化组手术操作平均时间、取石过程出血情况、漏尿时间、平均住院时间优于对照组(P<0.05);干预前两组疼痛评分、QOL生活质量评分比较差异无统计学意义;出院时无管化组疼痛评分、QOL生活质量评分优于对照组(P<0.05)。无管化组术后镇痛率、并发症发生率显著低于对照组(P<0.05)。结论 "无管化"微通道经皮肾镜取石术治疗上尿路结石临床疗效确切,可有效改善患者病情,缩短手术操作时间,减少出血,缩短漏尿时间和住院时间,减轻患者疼痛,提升术后生活质量,减少并发症发生,值得推广。Objective To analyze the clinical effect of"ductless"microchannel percutaneous nephrolithotomy in the treatment of upper urinary calculi.Methods60patients with upper urinary calculi from June2015to January2017were randomly divided into30cases.The control groupwas treated with minimally invasive percutaneous nephrolithotomy,and the"tubeless"microchannel was treated with percutaneous nephrolithotomy.The average time of operation was compared between the two groups.The average time of operation,the bleeding time,the time of hospitalization,the average hospitalization time,the pain score before and after the intervention,the QOL quality of life score,postoperative analgesia and complicationrate.Results The total effective rate of upper urinary tract calculus was higher than that of control group(P<0.05).The average time of operationin the treatment group was not better than that in the control group(P<0.05).There was no significant difference in pain score and QOL qualityof life between the two groups before treatment.The scores of QOL quality of life were better than those of control group(P<0.05).The incidenceof postoperative analgesia and complication was significantly lower in the control group than in the control group(P<0.05).Conclusion The treatmentof upper urinary calculi with percutaneous nephrolithotomy can improve the condition of the patients,shorten the operation time,reduce thebleeding,shorten the time of leakage and the time of hospitalization,reduce the pain of the patients,Postoperative quality of life,reduce the incidenceof complications,it is worth promoting.

关 键 词：“无管化” 微通道经皮肾镜取石术 上尿路结石 临床疗效 

分 类 号：R699[医药卫生—泌尿科学]