微创经皮肾镜下气压弹道碎石术治疗泌尿系结石的临床效果  

Clinical Effect of Minimally Invasive Percutaneous Nephroscope Pneumatic Ballistic Lithotripsy in the Treatment of Urinary Calculi

作　　者：邱海峰[1] QIU Hai-feng(Urology Department,Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang,China)

机构地区：[1]佳木斯市中心医院泌尿外科,黑龙江佳木斯154002

出　　处：《医学信息》2020年第9期105-107,共3页Journal of Medical Information

摘　　要：目的探讨微创经皮肾镜下气压弹道碎石术治疗泌尿系结石的疗效。方法选取2017年1月~2019年6月我院收治的105例泌尿系结石患者为研究对象,按照手术方式不同分为对照组(51例)和观察组(54例),对照组采用体外冲击波碎石术,观察组采用微创经皮肾镜下气压弹道碎石术,比较两组手术时间、术后住院时间、血红蛋白下降值、单次清石率、最终清石率,手术前后肾小球滤过率(e GFR)、血清肌酐(Cr)、血尿素氮(BUN)及术后并发症发生率。结果观察组手术时间、术后住院时间均短于对照组,差异有统计学意义(P<0.05),两组血红蛋白下降值比较,差异无统计学意义(P>0.05),观察组单次清石率、最终清石率分别为88.89%、94.44%,均高于对照组的72.55%、88.24%,且两组术后6个月eGFR均较治疗前升高,Cr、BUN均较治疗前下降,差异均有统计学意义(P<0.05);观察组术后并发症发生率为9.26%,低于对照组的27.45%,差异有统计学意义(P<0.05)。结论微创经皮肾镜下气压弹道碎石术治疗泌尿系结石疗效确切,手术时间短,术后住院时间短,清石率高,术后肾功能恢复较好,并发症少。Objective To explore the therapeutic effect of minimally invasive percutaneous nephroscopy in the treatment of urinary calculi with pneumatic ballistic lithotripsy.Methods 105 patients with urinary calculi admitted in our hospital from January 2017 to June 2019 were selected as the research object. They were divided into a control group(51 cases) and an observation group(54 cases) according to different surgical methods. The control group used extracorporeal shock waves lithotripsy, the observation group used minimally invasive percutaneous nephroscope pneumatic ballistic lithotripsy, compared the operation time, postoperative hospital stay, hemoglobin decline value, single stone clearing rate, final stone clearing rate of the two groups. Ball filtration rate(e GFR), serum creatinine(Cr), blood urea nitrogen(BUN), and the incidence of postoperative complications. Results The operation time and postoperative hospital stay in the observation group were shorter than that in the control group,the difference was statistically significant(P<0.05);the difference in hemoglobin decline value between the two groups was not statistically significant (P>0.05);The rate and final stone clearing rate were 88.89% and 94.44%, respectively, which were higher than the control group’s 72.55% and 88.24%, the difference was statistically significant(P <0.05);6 months postoperative e GFR in both groups was higher than before treatment, Cr and BUN decreased compared with before treatment, the difference was statistically significant(P<0.05);the postoperative complication rate in the observation group was 9.26%, lower than the control group’s 27.45%, the difference was statistically significant(P <0.05).Conclusion Minimally invasive percutaneous nephroscope pneumatic ballistic lithotripsy has a definite curative effect on urinary calculi, with short operation time, short postoperative hospital stay, high clearing rate, good postoperative renal function recovery, and few complications.

关 键 词：泌尿系结石 微创 经皮肾镜下气压弹道碎石术 清石率 

分 类 号：R699[医药卫生—泌尿科学]