应用球囊扩张法建立24 F经皮肾通道处理鹿角形结石的安全性及有效性  

Safety and Effectiveness of 24 F Percutaneous Renal Channel for Staghorn Stones Treated by Balloon Dilation

作　　者：郑龙宝 郑美英 仇让学 孟庆超 Zheng Longbao;Zheng Meiying;Qiu Rangxue;Meng Qingchao(907 Hospital of PLA Joint Logistics Support Forces,Nanping Fujian 350000,China)

机构地区：[1]解放军联勤保障部队第九〇七医院,福建南平350000

出　　处：《医疗装备》2020年第18期3-4,共2页Medical Equipment

摘　　要：目的探讨应用球囊扩张法建立24 F经皮肾通道处理鹿角形结石的安全性及有效性。方法回顾性分析2018年5月至2019年5月解放军联勤保障部队第九〇七医院收治的174例有鹿角形结石的患者的临床资料,按手术方式不同分为试验组(采用球囊扩张法建立24 F通道,84例)和对照组(采用筋膜扩张器建立18 F通道,90例),比较两组的通道建立时间、一次通道建立成功率、结石清除时间、一期结石清除率、术后血红蛋白下降值、术中肾盂内压(通过肾盂平面的压力传感器监测)及术后发热率。结果两组均良好耐受手术。试验组一次通道建立成功率、一期结石清除率均高于对照组,术后发热率低于对照组,差异均有统计学意义(P<0.05)。试验组通道建立时间和结石清除时间均短于对照组,术后血红蛋白下降值和术中肾盂内压均低于对照组,差异均有统计学意义(P<0.05)。结论应用球囊扩张法建立24 F经皮肾通道处理鹿角形结石具有结石清除率高、出血少、用时短及肾盂内压低等优点。Objective To investigate the safety and effectiveness of balloon dilation to establish 24 F percutaneous renal channels for the treatment of staghorn stones.Methods Data were collected and analyzed by retrospective medical records.From May 2018 to May 2019,174 patients with staghorn stones were collected at the 907 Hospital of the PLA Joint Logistics Support Force for study.According to the surgical method,they were divided into experimental group and control group,84 cases in experimental group and 90 cases in control group.Comparison of channel establishment time,success rate of one puncture dilation,stone removal time,stone removal rate,postoperative hemoglobin reduction,postoperative hospital stay,intrapelvic pressure(monitored by pressure sensor at the level of the renal pelvis),and postoperative comparison Incidence of fever.Results The patients in both groups were well tolerated.The success rate of primary channel establishment and first-stage stone removal rate in the experimental group were higher than those in the control group,and the postoperative fever rate was lower than that in the control group,with statistically significant differences(P<0.05).The experimental group set up time and stone removal time were shorter than the control group.The postoperative hemoglobin drop value and intrapelvic pressure in the experimental group were lower than those in the control group,and there were statistically significant differences(P<0.05).Conclusion The use of balloon dilatation to establish 24 F percutaneous renal channels for the treatment of staghorn stones has the advantages of high stone clearance,less bleeding,short duration of use,and low intrapelvic pressure.

关 键 词：经皮肾镜取石术 球囊扩张法 鹿角形结石 安全性 有效性 

分 类 号：R699[医药卫生—泌尿科学]