经皮肾镜联合软性膀胱镜治疗复杂性肾结石的临床疗效观察  

Clinical Observation of Percutaneous Nephroscope Combined with Soft Cystoscopy in the Treatment of Complex Kidney Stones

作　　者：张智勇[1] 黄瑞雷[1] 赵丹[1] 教传华[1] ZHANG Zhi-yong;HUANG Rui-lei;ZHAO Dan;JIAO Chuan-hua(The Second Affiliated Hospital of Mudanjiang Medical College,Heilongjiang Mudanjiang 157000)

机构地区：[1]牡丹江医学院第二附属医院,黑龙江牡丹江157000

出　　处：《中国医疗器械信息》2020年第7期110-111,共2页China Medical Device Information

摘　　要：目的:探究经皮肾镜联合软性膀胱镜应用于复杂性肾结石患者治疗中的效果,分析其临床意义。方法:根据国际随机字母排列法将2010年3月~2018年3月本院收治的232例复杂性肾结石患者进行分组,分别为观察组和对照组,单组中样本量设置为116例。其中观察组实施经皮肾镜联合软性膀胱镜进行治疗,对照组患者实施经皮肾镜碎石术进行治疗,根据两组患者的治疗效果和手术各项指标进行比较。结果:针对直径≤20mm的结石,观察组的清石成功率高于对照组,而直径>20mm的结石,对照组的清石成功率更高。对比两组患者的手术各项指标,对照组的术中出血量和并发症发生率更高,但手术时间更短,差异具有统计学意义(P<0.05)。结论:针对复杂性肾结石,经皮肾镜联合软性膀胱镜与经皮肾镜碎石术两种治疗方式均获得良好的治疗效果,但经皮肾镜联合软性膀胱镜对患者进行治疗,患者并发症较少,并且患者术中出血量较短,但会在一定程度上增强患者的手术时间,故而在临床使用时需要强化医师的操作技能,以缩短手术时间,保证手术效果。Objective:To explore the effect of percutaneous nephroscope combined with soft cystoscope in the treatment of patients with complex kidney stones,and to analyze its clinical significance.Methods:According to the international random letter order method,232 patients with complex kidney stones admitted in our hospital from March 2010 to March 2018 were grouped into experimental group and control group,and the sample size in the single group was set to 116.The experimental group was treated with percutaneous nephroscope combined with soft cystoscopy,and the control group was treated with percutaneous nephrolithotripsy.The two groups of patients were compared according to the treatment effect and various surgical indicators.Results:For stones with a diameter of less than 20mm,the success rate of calculus in the experimental group is higher than that of the control group,and for stones with a diameter of more than 20mm,the control group has a higher success rate.Compared with the surgical indicators of the two groups of patients,the intraoperative blood loss and complication rate were higher in the control group,but the operation time was shorter,and the difference was statistically significant(P<0.05).Conclusion:For complex kidney stones,two methods of percutaneous nephrolithotomy combined with soft cystoscopy and percutaneous nephrolithotomy have achieved good results,but patients treated with percutaneous nephroscope combined with soft cystoscopy The patient has fewer complications and the amount of bleeding during the operation is shorter,but it will increase the patient’s operation time to a certain extent.Therefore,in the clinical use,the operating skills of the physician need to be strengthened to shorten the operation time and ensure the surgical effect.

关 键 词：输尿管软镜 经皮肾镜碎石术 复杂性肾结石 

分 类 号：TH779[机械工程—仪器科学与技术]