部分无管化与标准经皮肾镜取石术治疗上尿路结石的有效性及安全性  

Efficacy and safety of partial tubeless versus standard percutaneous nephrolithotomy in the treatment of upper urinary tract calculi

作　　者：何祥彪 刘杨洋[1] 杜丹[1] 万俊彦 黄贵闽[1] HE Xiangbiao;LIU Yangyang;DU Dan;WAN Junyan;HUANG Guimin(Department of Urology,Leshan People s Hospital,Leshan 614000,China)

机构地区：[1]乐山市人民医院泌尿外科,四川乐山614000

出　　处：《现代泌尿外科杂志》2023年第6期516-518,528,共4页Journal of Modern Urology

基　　金：2021年乐山市科技计划重点研究项目(No.21ZDYJ0162)。

摘　　要：目的比较部分无管化经皮肾镜取石术和标准经皮肾镜取石术治疗上尿路结石的有效性、安全性。方法回顾性分析2018年6月-2021年12月乐山市人民医院收治的上尿路结石并行经皮肾镜取石术治疗的患者802例,根据是否留置肾造瘘管为部分无管化组和标准经皮肾镜取石术组。采用单纯随机法每组选取60例患者。比较两组患者临床资料、手术并发症发生情况及结石清除率等。结果120例患者均顺利完成手术,部分无管化组患者术后住院时间、疼痛评分、术后恢复明显优于标准组,差异有统计学意义(P<0.05);而两组在手术时间、失血量、手术并发症、结石清除率等方面比较,差异无统计学意义(P>0.05)。结论在上尿路结石的治疗中,部分无管化经皮肾镜取石术疗效可靠,在术后恢复和患者体验方面具有明显优势,值得临床推广应用。Objective To compare the efficacy and safety between partial tubeless and standard percutaneous nephrolithotomy in the treatment of upper urinary tract calculi.Methods The clinical data of 802 patients with upper urinary tract calculi treated at our hospital during Jun.2018 and Dec.2021 were retrospectively analyzed.The patients were divided into the partial tubeless group and standard group,and 60 cases in either group were selected by a simple random method.Clinical data,complications and stone-free rate were compared between the two groups.Results All 120 patients completed the operation successfully.The postoperative hospital stay,pain score and postoperative recovery of the partial tubeless group were significantly superior to those of the standard group(P<0.05).There were no significant differences in operation time,blood loss,complications and stone clearance rate between the two groups(P>0.05).Conclusion In the treatment of upper urinary tract calculi,partial tubeless percutaneous nephrolithotomy can achieve satisfactory surgical results,and has obvious advantages in postoperative recovery and patients experience.It is worthy of clinical application.

关 键 词：部分无管化 经皮肾镜取石术 上尿路结石 结石清除率 

分 类 号：R692.4[医药卫生—泌尿科学]