体外冲击波和经皮肾镜气压弹道对复杂性泌尿系统结石治疗中的应用分析  

Application of Extracorporeal Shock Wave Lithotripsy and Percutaneous Nephrolithotomy on Treatment of Complex Urinary Tract Calculi

作　　者：徐良 XU Liang(Urinary Surgery Department,The People’s Hospital,Hebi,458030)

机构地区：[1]鹤壁市人民医院泌尿外科,鹤壁市458030

出　　处：《生物医学工程学进展》2022年第1期53-55,共3页Progress in Biomedical Engineering

摘　　要：目的比较经皮肾镜气压弹道碎石术与体外冲击波碎石术用于治疗复杂性泌尿系统结石的效果。方法选取复杂性泌尿系统结石患者72例,随机组肾镜组(36例)行经皮肾镜气压弹道碎石术治疗,体外组(36例)行体外冲击波碎石术治疗,比较两组碎石成功、术中出血并发症等情况。结果肾镜组与体外组一次碎石成功率分别为97.22%与91.67%,差异比较无统计学意义(P>0.05);与肾镜组相比,体外组术中出血率显著更低,平均手术时间、术后住院天数均显著更短(P<0.05);肾镜组治疗总有效率为91.67%,显著高于体外组的72.22%(P<0.05);体外组术后泌尿系统感染、损伤及复发率均显著低于肾镜组(P<0.05)。结论经皮肾镜气压弹道碎石术用于复杂性泌尿系统患者治疗,总有效率高于体外冲击波碎石术,但术后并发症相对较大,患者住院时间相对更长。Objective To compare the clinical effect of percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy on treatment of complex urinary tract calculi.Methods 72 patients with complex urinary tract calculi were selected.36 cases of taking percutaneous nephrolithotomy were included in nephroscopy group;36 cases of taking extracorporeal shock wave lithotripsy were included in extracorporeal group.One-time success rate,intraoperative bleeding conditions and postoperative complications were compared.Results One-time success rate in nephroscopy group and extracorporeal group was 97.22%and 91.67%,without statistically significant difference(P>0.05);compared with nephroscopy group,intraoperative bleeding rate in extracorporeal group was lower while average operation time and hospital stays were shorter(P<0.05);total effective rate in nephroscopy group(91.67%)was significantly higher than that of extracorporeal group(72.22%)(P<0.05);urinary system infection,injury and recurrence rate in extracorporeal group was significantly lower than that of nephroscopy group(P<0.05).Conclusion Compared with extracorporeal shock wave lithotripsy,percutaneous nephrolithotomy has higher effective rate on treatment of complex urinary tract calculi,but may increase the postoperative complications and extend the hospital stays.

关 键 词：复杂性泌尿系统结石 体外冲击波碎石术 行经皮肾镜气压弹道碎石术 

分 类 号：R454[医药卫生—治疗学]