机构地区:[1]河池市中医医院泌尿外科,河池547000 [2]河池市中医医院肾内科,河池547000
出 处:《国际泌尿系统杂志》2022年第4期636-639,共4页International Journal of Urology and Nephrology
摘 要:目的探究经皮肾通道输尿管镜钬激光碎石术(PNHLL)与气压弹道碎石术(PL)治疗复杂性肾结石的疗效.方法选取2017年1月至2020年1月本院收治的196例复杂性肾结石患者作为研究对象,给所有发放随机信封,根据单、双号分为观察组与对照组,每组各98例.比较两组的各项手术指标,随访术后并发症发生率以及碎石效果,评估肾功能指标改善情况.结果两组的手术时间比较,差异无统计学意义(P>0.05);观察组的术中出血量、碎石时间及术后住院时间少于对照组,差异均有统计学意义(均P<0.001).两组的并发症发生率比较,差异无统计学意义(8.16%vs.4.08%,P=0.223).两组的一次碎石成功率、结石取净率及再次治疗率比较,差异均无统计学意义(均P>0.05).与治疗前比较,治疗后两组患者的血肌酐、尿素氮水平均降低(均P<0.001);治疗前两组患者的血肌酐、尿素氮水平比较,差异均无统计学意义(均P>0.05);治疗后观察组患者的血肌酐、尿素氮水平低于对照组,差异均有统计学意义(均P<0.001).结论PL与PNHLL治疗复杂性肾结石的碎石效果及安全性相当,但PL在减轻手术创伤、改善肾功能方面效果更好,值得临床推广.Objective To investigate the efficacy of percutaneous renal tunnel ureteroscopic holmium laser lithotripsy(PNHLL)and pneumatic lithotripsy(PL)in the treatment of complex renal calculi.Methods From January 2017 to January 2020,196 patients with complicated renal calculi in our hospital were selected as the research subjects.All patients were given random envelopes.According to odd and even numbers,they were divided into observation group and control group,with 98 cases in each group.The surgical indicators of the two groups were compared,the postoperative complication rate and lithotripsy effect were followed up,and the improvement of renal function indicators was evaluated.Results There was no significant difference in operation time between the two groups(P>0.05).The intraoperative blood loss,gravel time and postoperative hospital stay in the observation group were less than those in the control group,and the differences between the two groups were statistically significant(all P<0.001).There was no significant difference in the incidence of complications between the two groups(8.16%vs.4.08%,P=0.223).Comparison of the success rate of primary lithotripsy,stone removal rate and re-treatment rate between the two groups.There was no significant difference(all P〉0.05).Compared with before treatment,the levels of serum creatinine and u-rea nitrogen in two groups were decreased after treatment,with statistical significance(all P<0.001).Before treatment,there was no significant difference in serum creatinine and urea nitrogen levels between two groups(all P>0.05).After treatment,the serum creatinine and urea nitrogen levels in the observation group were lower than those in the control group,the differences were statistically significant(all P<0.001).Conclusions The efficacy and safety of PL and PNHLL in the treatment of complicated renal stone lithotripsy are similar,but PL has a better effect in alleviating surgical trauma and improving renal function,which is worthy of clinical promotion.
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...