超声引导微创经皮肾镜碎石取石术治疗复杂性肾结石疗效分析  

Analysis of the Efficacy of Ultrasound-guided Minimally Invasive Percutaneous Nephrolithotomy for Complex Renal Stones

作　　者：沈月华 SHEN Yuehua(Department of Ultrasound,Liancheng County Hospital,Longyan,Fujian Province,366200 China)

机构地区：[1]连城县医院超声科,福建龙岩366200

出　　处：《中外医疗》2023年第36期49-53,共5页China & Foreign Medical Treatment

摘　　要：目的 分析超声引导微创经皮肾镜碎石取石术治疗复杂性肾结石疗效。方法 便利选取2021年10月—2023年8月连城县医院收治的78例复杂性肾结石患者为研究对象,经随机数表法分为研究组和对照组,各39例。研究组给予超声引导微创经皮肾镜碎石取石术治疗,对照组给予超声引导开放手术治疗,观察两组手术治疗效果。结果 两组患者手术各项指标比较,时间指标均为研究组更短,研究组术中出血量更少,差异有统计学意义(P均<0.05);术前,两组患者肾功能指标比较,差异无统计学意义(P>0.05);术后1 d,研究组尿素氮、脂质运载蛋白、肌酐均低于对照组,差异有统计学意义(P均<0.05);术前,两组炎性应激反应指标水平比较,差异无统计学意义(P>0.05);术后1 d,研究组C反应蛋白、白细胞计数、血清白细胞介素-10低于对照组,差异有统计学意义(P均<0.05);术前,两组生活质量评分比较,差异无统计学意义(P>0.05);术后,研究组评分均高于对照组,差异有统计学意义(P<0.05);研究组术后并发症发生率为2.56%,低于对照组的17.95%,差异有统计学意义(χ^(2)=5.014,P<0.05)。结论 复杂性肾结石患者临床采用超声引导微创经皮肾镜碎石取石术治疗,能够保障患者诊疗期间安全性,缩短术后康复时间。Objective To analyze the efficacy of ultrasound-guided minimally invasive percutaneous nephrolithotomy for the treatment of complex renal stones.Methods A total of 78 patients with complex renal calculi who were admitted to Liancheng County Hospital from October 2021 to August 2023 were conveniently selected as the research objects.They were divided into the study group and the control group by the random number table method,with 39 cases in each group.The study group was treated with ultrasound-guided minimally invasive percutaneous nephrolithotomy,and the control group was treated with ultrasound-guided open surgery.The effects of the two groups were observed.Results Compared with the operation indicators of patients in the two groups,the time indicators of the study group were shorter,and the intraoperative blood loss was less,and the differences were statistically significant(both P<0.05).Before operation,there were no statistically significant differences in renal function indexes between the two groups(P>0.05).One day after operation,the urea nitrogen,lipocalin and creatinine in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).Before operation,there were no statistically significant differences in the levels of inflammatory stress response indexes between the two groups(P>0.05).One day after operation,C-reactive protein,white blood cell count and serum interleukin-10 in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).Before operation,there was no statistically significant difference in the quality of life score between the two groups(P>0.05).After the operation,the scores in the study group were higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the study group was 2.56%,which was lower than 17.95% in the control group,and the difference was statistically significant(χ^(2

关 键 词：复杂性肾结石 超声引导 微创经皮肾镜碎石取石术 疗效 

分 类 号：R699.2[医药卫生—泌尿科学]