分期经皮肾镜碎石取石术对复杂性上尿路结石伴感染患者的疗效观察  

Clinical Observation of Staging Percutaneous Nephrolithotomy for Complicated Upper Urinary Calculi with Infection

作　　者：黎庆新 陆荣森[1] 黄伙 李良健 LI Qing-xin;LU Rong-sen;HUANG Huo;LI Liang-jian(Xinyi People's Hospital,Guangdong Xinyi 525300)

机构地区：[1]信宜市人民医院,广东信宜525300

出　　处：《深圳中西医结合杂志》2021年第21期159-161,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:观察分期经皮肾镜碎石取石术对复杂性上尿路结石伴感染患者的治疗效果。方法:选取信宜市人民医院2020年3月至2020年9月收治的70例复杂性上尿路结石伴感染患者为研究对象,根据治疗方法的不同分为A组(34例,1期治疗)与B组(36例,分期治疗),比较两组患者结石清除率及并发症发生率。结果:B组患者结石清除率为97.22%(35/36),高于A组的76.47%(26/34),差异具有统计学意义(P<0.05);B组患者术中平均出血时间为(62.12±6.32)min,短于A组的(140.62±18.62)min,差异具有统计学意义(P<0.05);B组患者术后并发症发生率低于A组,差异具有统计学意义(P<0.05)。结论:分期经皮肾镜碎石取石术能提高复杂性上尿路结石伴感染患者结石清除率,降低术后并发症发生率。Objective To observe the therapeutic effect of staging percutaneous nephrolithotripsy for complicated upper urinary calculi with infection.Methods 70 cases of complicated urinary stones with infection patients was selected as the research object from Xinyi People's Hospital from March 2020 to September 2020.According to the treatment methods,all patients divided into A group(34 cases,1 period of treatment)and B group(36 cases,staging treatment).The calculi clearance rate and incidence of complications in two groups were compared.Results The stone clearance rate in B group was 97.22%(35/36),higher than 76.47%(26/34)in A group,and the difference was statistically significant(P<0.05).The mean intraoperative bleeding time of B group was(62.12±6.32)min,was shorter than(140.62±18.62)min of A group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in B group was lower than that in A group,the difference was statistically significant(P<0.05).Conclusion Staging percutaneous nephrolithotomy can improve the stone clearance rate and reduce the incidence of postoperative complications in patients with complicated upper urinary calculi associated with infection.

关 键 词：复杂性上尿路结石 尿路感染 经皮肾镜碎石取石术 

分 类 号：R691.4[医药卫生—泌尿科学]