软镜联合穿刺架辅助彩超引导经皮肾镜取石术治疗复杂肾结石的应用研究  

Application research of percutaneous nephrolithotomy via color Doppler ultrasound-guided assisted by soft lens combined with puncture frame for complex renal calculi

作　　者：汪有彪 WANG Youbiao(Department of Urology Surgery,the Second People′s Hospital of Jingdezhen,Jingdezhen 333000,Jiangxi,China)

机构地区：[1]景德镇市第二人民医院泌尿外科,江西省景德镇市333000

出　　处：《微创医学》2021年第6期770-772,792,共4页Journal of Minimally Invasive Medicine

基　　金：景德镇市科学技术局社会发展类自筹经费科研项目(编号:20211SFZC036)。

摘　　要：目的探讨软镜联合穿刺架辅助彩色多普勒超声(简称彩超)引导经皮肾镜取石术治疗复杂肾结石的应用效果。方法选取复杂肾结石患者80例,按照随机数字表法分为对照组和治疗组,各40例。对照组患者接受开放性肾切开取石术治疗,治疗组患者接受软镜联合穿刺架辅助彩超引导经皮肾镜取石术治疗。对比两组患者临床疗效、围术期相关指标(手术时间、术中出血量、术后恢复时间、住院时间)、术后并发症(切口感染、器官损伤、出血、尿外渗)发生率以及结石残留率。结果治疗组患者的治疗总有效率高于对照组(P<0.05);治疗组患者的手术时间、术后恢复时间、住院时间以及术中出血量短/少于对照组(均P<0.05);治疗组患者的并发症发生率、结石残留率分别为2.50%和5.00%,显著低于对照组的22.50%和30.00%(均P<0.05)。结论软镜联合穿刺架辅助彩超引导经皮肾镜取石术治疗复杂肾结石的效果显著,可有效缩短手术时间,减少术中出血量,且降低术后并发症发生率。其有助于患者术后恢复,具有较高的临床应用价值。Objective To explore the application effects of percutaneous nephrolithotomy via color Doppler ultrasound-guided assisted by soft lens combined with puncture frame in the treatment of patients with complex renal calculi.Methods A total of 80 patients with complex renal calculi were selected and divided into control group and treatment group according to the random number table method,with 40 cases in each group.The control group was treated with open nephrolithotomy,whereas the treatment group received percutaneous nephrolithotomy via color Doppler ultrasound-guided assisted by soft lens combined with puncture frame.The clinical efficacy,related perioperative indicators(operation duration,intraoperative bleeding volume,postoperative recovery duration,hospital stays),incidence of postoperative complications(incision infection,organic damage,bleeding,urinary extravasation),and incidence of residual stones were compared between the two groups.Results The total effective rate of treatment was higher in the treatment group than in the control group(P<0.05).The treatment group yielded shorter or less operation duration,postoperative recovery duration,hospital stays,and intraoperative bleeding volume as compared with the control group(all P<0.05).The incidence of complications and residual stones were 2.50%and 5.00%in the treatment group,respectively,which were significantly lower than those in the control group,with 22.50%and 30.00%,respectively(all P<0.05).Conclusion Percutaneous nephrolithotomy via color Doppler ultrasound-guided assisted by soft lens combined with puncture frame for treating complex renal calculi has prominent effects,which can effectively shorten operation duration,reduce intraoperative bleeding volume,and decrease the incidence of postoperative complications.It is helpful to postoperative recovery of patients;therefore,it has relatively high clinical application value.

关 键 词：复杂肾结石 软镜 经皮肾镜取石术 彩色多普勒超声 穿刺架 

分 类 号：R692.4[医药卫生—泌尿科学]