可视化穿刺经皮肾镜联合软性输尿管镜治疗复杂性肾结石  

All-seeing needle percutaneous nephroscopy combined with flexible ureteroscopy for complex nephrolithiasis

作　　者：卢童[1,2] 周治军 徐康[1,2] 龚娟[1] 章尹岗[1] 万涛[1] 龚化[1] 戴强[1] 杨刚[1] 熊标[1] LU Tong;ZHOU Zhijun;XU Kang(Department of Urology,the First People’s Hospital of Tianmen City,China)

机构地区：[1]天门市第一人民医院泌尿外科,431700 [2]武汉科技大学职业危害识别与控制湖北省重点实验室

出　　处：《临床外科杂志》2019年第10期876-878,共3页Journal of Clinical Surgery

基　　金：湖北省卫生计生科研基金资助项目(WJ2017Q043、WJ2019H208)

摘　　要：目的将可视化穿刺经皮肾镜与软性输尿管镜联合应用治疗复杂性肾结石,并观察其疗效。方法选取87例复杂肾结石病人,其中观察组(44例)采用可视化穿刺经皮肾镜联合软性输尿管镜手术方式;同时设置对照组(43例),采用普通经皮肾镜手术方式治疗肾结石;统计两组病人术中出血量、手术并发症发生率、结石残留率等指标。结果观察组病人术中出血量(134.4±21.1)ml,手术并发症发生率(2.27%)均明显小于对照组的(153.6±29.2)ml和13.95%,而结石清除率(95.45%)则明显高于对照组(79.06%),两组比较差异均有统计学意义(P<0.05)。结论可视化穿刺经皮肾镜联合软性输尿管镜治疗复杂肾结石具有创伤小、清石率高等优点,是治疗复杂性肾结石的有效手段。Objective To treat the complex nephrolithiasis with the combination of all-seeing needle percutaneous nephroscopy and flexible ureteroscopy and observe the efficacy.Methods 87 patients with complex nephrolithiasis were selected.All-seeing needle percutaneous nephroscopy combined with flexible ureteroscopy was adopted for patients in the observation group(n=44),while the ordinary percutaneous nephroscopy was adopted for patients in the control group(n=43).Statistics were conducted for indicators of two groups,including intraoperative blood loss,incidence of operative complications and residual rate of calculi,etc.Results Patients of the observation group had significantly lower intraoperative blood loss(134.4±21.1)ml,incidence of operative complications(2.27%)and higher clearance rate of calculi(95.45%)than those of the control group[(153.6±29.2)ml,13.95%and 79.06%].Conclusion Having the advantages of less trauma and high stone clearance rate,etc.,all-seeing needle percutaneous nephroscopy combined with flexible ureteroscopy is an effective means to treat complex nephrolithiasis.

关 键 词：可视化穿刺经皮肾镜 软性输尿管镜 复杂性肾结石 碎石术 

分 类 号：R69[医药卫生—泌尿科学]