可视穿刺经皮肾镜碎石术治疗肾结石的效果及对结石清除率术后并发症发生率的影响  

Effects of Visual Puncture Percutaneous Nephrolithotomy on the Treatment of Renal Calculi and Its Impact on the Stone Clearance Rate and Postoperative Complication Rate

作　　者：袁汀 王宇 刘东亮 贾康 王明松 陈昌珍 YUAN Ting;WANG Yu;LIU Dongliang(Chengdu 363 Hospital Affilliated to Southwest Medical University,Sichuan Chengdu 610041,China)

机构地区：[1]西南医科大学附属成都三六三医院泌尿外科,四川成都610041

出　　处：《河北医学》2024年第3期480-484,共5页Hebei Medicine

基　　金：四川省卫生和计划生育委员会科研课题,(编号:18PJ457)。

摘　　要：目的:探究可视穿刺经皮肾镜碎石术治疗肾结石的效果及对结石清除率、术后并发症发生率的影响。方法:回顾性分析2020年1月至2023年1月我院行可视穿刺经皮肾镜碎石术肾结石患者临床资料,选取73例纳入观察组;回顾性分析同期接受微创经皮肾镜碎石取石术肾结石患者临床资料,选取74例纳入对照组。比较两组临床指标(手术时间、通道数量、术中出血量)、结石清除情况(平均碎石时间、Ⅰ期和Ⅱ期结石清除率)、术后恢复情况(VAS评分、住院时间、血红蛋白下降)以及术后1周并发症发生情况。结果:观察组手术时间、平均碎石时间长于对照组(P均<0.05),通道数量、Ⅱ期结石清除率高于对照组(P<0.05),住院时间短于对照组(P<0.05),VAS评分、血红蛋白下降低于对照组(P<0.05),术中出血量、术后并发症发生率差异无统计学差异(P>0.05)。结论:肾结石患者应用可视穿刺经皮肾镜碎石术治疗安全有效,能有效清除碎石,减少患者住院时间。Objective:To explore the effect of visual puncture percutaneous nephrolithotomy on the treatment of renal calculi and its impact on stone clearance rate and postoperative complications rates.Methods:Clinical data of patients with renal calculi who underwent visual puncture percutaneous nephrolithotomy in our hospital from January 2020 to January 2023 were retrospectively analyzed,and 73 cases were included in the observation group.Clinical data of patients who underwent minimally invasive percutaneous nephrolithotomy for renal calculi during the same period were retrospectively analyzed,and 74 cases were included in the control group.The clinical indicators(operation time,number of access tracts,intraoperative blood loss),stone clearance status(average stone fragmentation time,stone clearance rates in stage I and stageⅡ),postoperative recovery status(VAS score,length of hospital stay,decrease in hemoglobin),and occurrence of postoperative complications within 1 week were compared between the two groups.Results:The operation time and average stone fragmentation time in the observation group were longer than those in the control group(P<0.05),and the number of access tracts and stone clearance rate in stageⅡwere higher than those in the control group(P<0.05).The length of hospital stay was shorter,and VAS score and decrease in hemoglobin were lower in the observation group than in the control group(P<0.05).There was no statistically significant difference in intraoperative blood loss and the incidence of postoperative complications between the two groups(P>0.05).Conclusion:Visual puncture percutaneous nephrolithotomy is safe and effective in the treatment of patients with renal calculi,and it can effectively remove the stones and reduce the hospital stay for patients.

关 键 词：可视穿刺经皮肾镜碎石术 肾结石 结石清除率 并发症 血红蛋白下降 

分 类 号：R699.2[医药卫生—泌尿科学]