经皮肾镜碎石手术两种扩张方式建立微通道的效果比较  

Comparison of the effect of percutaneous nephrolithotripsy on microchannel establishment by two dilatation methods

作　　者：向敏[1] 任碧华[1] 祝凡[1] Xiang Min;Ren Bihua;Zhu Fan(Mianyang Central Hospital,Mianyang,Sichuan 621000,China)

机构地区：[1]四川省绵阳市中心医院,四川绵阳621000

出　　处：《首都食品与医药》2024年第6期22-24,共3页Capital Food Medicine

摘　　要：目的比较一步扩张法与逐级扩张法在建立微通道应用于经皮肾镜碎石手术中的效果.方法于2022年1月-2023年7月期间选取绵阳市中心医院196名肾结石患者随机分为对照组(采用一步扩张法)和试验组(采用逐级扩张法),比较两组患者治疗前和治疗后(术后7d)血清生化指标(Cys-C、NGAL)水平的统计学意义,比较两组患者治疗前后生存质量(WHOQOL-BREF评分)的统计学差异.结果试验组手术时间短于对照组,一期清石率高于对照组(P<0.05);试验组Cys-C、NGAL优于对照组(P<0.05);试验组生存质量评分优于对照组(P<0.05).结论在经皮肾镜碎石手术中采用逐级扩张法建立微通道节约了手术时间,降低了并发症的发生率,减少了出血量,在经皮肾镜术中应用是安全、可行的.Objective To compare the effect of one-step dilation and stepwise dilation in establishing microchannels for percutaneous nephrolithotripsy.Methods From January 2022 to July 2023,196 patients with kidney stones in our hospital were randomly divided into control group(one-step dilation method)and experimental group(stepwise dilation method),and the statistical significance of serum biochemical indexes(Cys-C,NGAL)before treatment and after treatment(7 days after surgery)were compared between the two groups.The quality of life(WHOQOL-BREF score)before and after treatment was compared between the two groups.Results The operation time of experimental group was shorter than that of control group,and the first-stage stone removal rate was higher than that of control group(P<0.05).Cys-C and NGAL in experimental group were better than those in control group(P<0.05).The quality of life score of experimental group was better than that of control group(P<0.05).Conclusion It is safe and feasible in percutaneous nephrolithotripsy to establish microchannel by step-by-step dilation method,which can save operation time,reduce complications and decrease blood loss.

关 键 词：一步扩张法 逐级扩张法 微通道 经皮肾镜碎石手术 

分 类 号：R692[医药卫生—泌尿科学]