经皮肾镜联合顺行软镜治疗复杂性上尿路结石疗效分析  

Analysis of the clinical efficacy of percutaneous nephroscope combined with antegrade flexible endoscopy in the treatment of complicated upper urinary tract stones

作　　者：赵虎 严映敏 张忠军 李柱仕 黄翻 白大应 ZHAO Hu;YAN Yingmin;ZHANG Zhongjun;LI Zhushi;HUANG Fan;BAI Daying(Department of Urology,Ziyang People’s Hospital,Ziyang,Sichuan,646000,China)

机构地区：[1]资阳市人民医院泌尿外科,四川资阳646000

出　　处：《临床泌尿外科杂志》2021年第12期946-948,共3页Journal of Clinical Urology

基　　金：四川省卫生健康委员会科研课题(No:19PJ306)。

摘　　要：目的:探究经皮肾镜结合顺行软镜(PCN-AFE)对比单纯经皮肾镜(PCN)治疗上尿路复杂性结石(CUUTS)疗效分析。方法:搜集我科符合CUUTS标准的52例患者作为研究目标并随机分组。实施PCN术作为对照组,实施PCN-AFE术作为实验组,记录各项观察指标。结果:PCN-AFE组的一期清石率显著高于PCN组(P<0.05),PCN-AFE手术花费时长要多于PCN组(P<0.05)。在出血量、住院时长、并发症率方面,PCN-AFE组与PCN组比较差异无统计学意义。结论:PCN-AFE碎石取石手术处理CUUTS的一期清石率高,临床疗效可以确定。Objective: To explore the clinical effect of percutaneous nephroscopy combined with antegrade flexible endoscopy(PCN-AFE) compared with percutaneous nephroscopy(PCN) in the treatment of complex upper urinary tract stones(CUUTS). Methods: Fifty-two patients in our department who meet the CUUTS standards as the research target were collected and randomized into two groups. Patients undergoing PCN were the control group, while patients undergoing PCN-AFE were the experimental group. Various observation indexes were recorded. Results: The rate of primary stone removal in the PCN-AFE group was glaringly superior to that in the PCN group(P<0.05), but the surgery lasting time of PCN-AFE was more than that of the PCN group(P<0.05). However, there was no statistical difference in terms of bleeding volume, length of hospital stay or complication rate. Conclusion: PCN-AFE lithotripsy has a high rate of primary stone removal for CUUTS, and the clinical efficacy can be determined.

关 键 词：经皮肾镜 顺行软镜 上尿路结石 清石率 

分 类 号：R693[医药卫生—泌尿科学]