B超引导下侧卧位微创经皮肾镜取石术治疗的效果分析  

Effect Analysis of Minimally Invasive Percutaneous Nephrolithotomy in Lateral Decubitus Position Guided by B-ultrasound

作　　者：张信彪 陈敏怡 ZHANG Xinbiao;CHEN Minyi(Guangning People’s Hospital,Guangning 526300,China;不详)

机构地区：[1]广宁县人民医院,广东广宁526300 [2]广宁卫生中等职业技术学校

出　　处：《中外医学研究》2020年第36期133-135,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:研究B超引导下侧卧位微创经皮肾镜取石术治疗的效果。方法:选择2017年10月-2019年10月本院治疗的复杂性肾结石患者116例,使用随机数字表法将其分为对照组和研究组,每组58例。对照组进行开放性手术治疗,研究组在B超引导下侧卧位微创经皮肾镜取石术治疗。对比两组的手术情况、肾功能指标情况、并发症情况。结果:研究组的手术出血量少于对照组,手术时间和住院时间均短于对照组,结石清除率(87.93%)高于对照组(72.41%),差异有统计学意义(P<0.05),术前两组的尿素和肌酐水平比较差异无统计学意义(P>0.05),术后研究组的尿素和肌酐水平均低于对照组,差异有统计学意义(P<0.05),研究组的并发症总发生率(6.89%)低于对照组(20.68%),差异有统计学意义(P<0.05)。结论:B超引导下侧卧位微创经皮肾镜取石术治疗复杂性肾结石的效果显著,手术时间短,能够减少手术出血,促进术后恢复,对肾功能的损伤小,并发症发生率低。Objective:To study the effect of minimally invasive percutaneous nephrolithotomy in lateral decubitus position guided by B-ultrasound.Method:A total of 116 patients with complicated kidney stones treated in our hospital from October 2017 to October 2019 were selected and divided into the control group and the study group with 58 cases in each group using random number table method.The control group underwent open surgery,while the study group underwent minimally invasive percutaneous nephrolithotomy in lateral decubitus position under the guidance of B-ultrasound.The operation condition,renal function index and complications of the two groups were compared.Result:The surgical blood loss of the study group was less than that of the control group,and the operation time and hospital stay were shorter than those of the control group.The stone clearance rate(87.93%)was higher than that of the control group(72.41%),and the difference was statistically significant(P<0.05).There was no significant difference in the levels of urea and creatinine between the two groups before operation(P>0.05).The levels of urea and creatinine in the study group after operation were lower than those in the control group(P<0.05).The total incidence of complications in the study group(6.89%)was lower than 20.68%in the control group(P<0.05).Conclusion:Minimally invasive percutaneous nephrolithotomy in lateral decubitus position guided by B-ultrasound in the treatment of complex kidney stones has significant effect,short operation time,can reduce surgical bleeding,promote postoperative recovery,have little damage to renal function and low complication rate.

关 键 词：B超 侧卧位 微创经皮肾镜取石术 复杂性肾结石 肾功能 并发症 

分 类 号：R699.2[医药卫生—泌尿科学]