B超引导下微创经皮肾镜取石术对肾结石患者术后恢复及结石清除率的影响  

Effect of Minimally Invasive Percutaneous Nephrolithotomy under B-mode Guidance on Postoperative Recovery and Stone Clearance in Patients with Renal Calculi

作　　者：郝磊 吴锋 HAO Lei;WU Feng(Qichun County People's Hospital,Qichun 435300,China)

机构地区：[1]蕲春县人民医院,湖北蕲春435300

出　　处：《中外医学研究》2020年第33期119-121,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨B超引导下微创经皮肾镜取石术对肾结石患者术后恢复及结石清除率的影响。方法:回顾性收集2012年1月-2020年2月本院收治的620例肾结石患者临床资料,根据治疗方式不同分别纳入观察组(310例)和对照组(310例)。对照组采用标准通道经皮肾镜碎石术治疗,观察组采用B超引导下微创经皮肾镜取石术治疗。比较两组围术期指标、结石清除率、并发症发生率。结果:观察组手术时间长于对照组,结石清除率高于对照组,下床活动时间早于对照组,术中出血量少于对照组,术后并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:肾结石患者采用B超引导下微创经皮肾镜取石术治疗效果较好,能有效减少术中出血量,且结石清除率较高,并发症少,促进患者术后恢复,值得临床推广应用。Objective:To investigate the effect of minimally invasive percutaneous nephrolithotomy under B-mode guidance on postoperative recovery and stone clearance in patients with renal calculi.Method:A total of 620 cases of kidney stones admitted to our hospital from January 2012 to February 2020 were divided into the observation group(310 cases)and the control group(310 cases)according to different treatment methods.The control group was treated with standard channel percutaneous nephrolithotomy and the observation group was treated with minimally invasive percutaneous nephrolithotomy under B-mode guidance.The perioperative indexes,stone clearance rate and incidence of complications were compared betweeen the two groups.Result:The operation time of the observation group was longer than that of control group;the stone clearance rate of the observation group was higher than that of the control group;the time of getting out of bed in the observation group was earlier than that in the control group;the amount of intraoperative bleeding of the observation group was less than that of the control group;the incidence of postoperative complications of the observation group was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:The patients with kidney stones treated with minimally invasive percutaneous nephrolithotomy under B-mode guidance has a good therapeutic effect,can effectively reduce the amount of intraoperative bleeding,and has a higher stone clearance rate and fewer complications,promote the postoperative recovery of patients,which is worthy of clinical application.

关 键 词：肾结石 B超引导下微创经皮肾镜取石术 术后恢复 结石清除率 

分 类 号：R699.2[医药卫生—泌尿科学]