B超联合C型臂X光机在经皮肾镜碎石术治疗复杂肾结石中的临床应用价值  

The Clinical Value of B-mode Ultrasound Combined with C-arm X-ray Machine in the Treatment of Complex Renal Calculi by Percutaneous Nephrolithotomy

作　　者：黄伟勇 卢柳荷 莫志平 HUANG Weiyong;LU Liuhe;MO Zhiping(Dongkeng Hospital of Dongguan City,Dongguan 523450,China)

机构地区：[1]广东省东莞市东坑医院

出　　处：《中国医学创新》2019年第20期11-14,共4页Medical Innovation of China

基　　金：东莞市社会科技发展(一般)项目(201650715001363)

摘　　要：目的:探讨B超联合C型臂X光机在经皮肾镜碎石术治疗复杂肾结石中的临床应用价值。方法:选择2016年5月-2018年12月来本院进行经皮肾镜碎石术治疗的复杂性肾结石患者66例作为研究对象。按照随机数字表法将患者分为观察组和对照组,各33例。观察组患者在B超联合C型臂X光机进行术中结石定位下行经皮肾镜碎石术,对照组患者在B超进行术中结石定位下行经皮肾镜碎石术。观察比较两组患者的手术时间、出血量、住院时间、清石率,以及术后发生出血、发热、感染等并发症情况。结果:观察组患者手术时间、术中出血量、住院时间均少于对照组,差异均有统计学意义(P<0.05);对照组术后并发症发生率为24.24%(8/22),明显高于观察组的6.06%(2/33),差异有统计学意义(P<0.05);两组患者术后1个月积水改善、疼痛缓解、血尿缓解率比较,差异均无统计学意义(P>0.05),但观察组患者结石清除率为96.97%,明显高于对照组81.82%,差异有统计学意义(P<0.05)。结论:B超联合C型臂X光机能够明显减少复杂肾结石患者行经皮肾镜碎石术的手术时间、术中出血量,缩短患者住院时间,降低术后并发症发生率,提高碎石成功率,具有重要的临床应用价值。Objective:To explore the clinical value of B-mode ultrasound combined with C-arm X-ray machine in the treatment of complex renal calculi by percutaneous nephrolithotomy.Method:66 patients with complicated renal calculi who underwent percutaneous nephrolithotomy from May 2016 to December 2018 were selected for clinical study.Patients were divided into observation group and control group by random number method,33 cases in each group.The patients in the observation group underwent percutaneous nephrolithotomy under intraoperative stone location by B-mode ultrasound combined with C-arm X-ray machine.The patients in the control group underwent percutaneous nephrolithotomy with intraoperative stone localization under B-mode ultrasound.The operation time,bleeding volume,hospitalization time,stone clearance rate and the occurrence of complications such as bleeding,fever and infection after operation were observed and compared between the two groups.Result:The operation time,intraoperative bleeding volume and hospitalization time of the patients in the observation group were lower than those in the control group,there were statistical differences(P<0.05).The total incidence of postoperative complications in the control group was 24.24%,which was significantly higher than 6.06%in the observation group,the difference was statistically significant(P<0.05).There were no statistically significant differences in the improvement rate of hydrops,pain relief rate,hematuria relief rate at 1 month after operation between the two groups(P>0.05).However,the stone clearance rate of the observation group was 96.97%,significantly higher than 81.82%of the control group,the difference was statistically significant(P<0.05).Conclusion:B-mode ultrasound combined with C-arm X-ray machine can significantly reduce the operation time and bleeding volume of patients with complex renal calculi undergoing percutaneous nephrolithotomy,shorten the hospitalization time of patients,reduce the incidence of postoperative complications and improve the suc

关 键 词：B超 C型臂X光机 经皮肾镜碎石术 复杂肾结石 

分 类 号：R699.2[医药卫生—泌尿科学]