肾上盏与肾中盏穿刺路径在经皮肾镜碎石术中的临床疗效对比  

Comparison of Clinical Effects of Upper Renal Calyx and Middle Renal Calyx Puncture Paths in Percutaneous Nephrolithotomy

作　　者：胡敬祖[1] 肖建华[1] 王婵[1] 张平[1] 陈晓波[1] 董自强[1] 向振东 Hu Jingzu;Xiao Jianhua;Wang Chan;Zhang Ping;Chen Xiaobo;Dong Ziqiang;Xiang Zhendong(Department of Urology,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University&Institute of Urology,China Three Gorges University,Yichang 443003,China)

机构地区：[1]三峡大学第一临床医学院[宜昌市中心人民医院]泌尿外科&三峡大学泌尿外科研究所,湖北宜昌443003

出　　处：《巴楚医学》2024年第2期54-58,共5页Bachu Medical Journal

基　　金：湖北省自然科学基金项目(No:2020CFB379)。

摘　　要：目的:探讨超声引导下肾上盏和肾中盏穿刺路径在经皮肾镜取石术(PCNL)中的临床效果。方法:回顾性分析2022年5月—2023年10月于宜昌市中心人民医院行PCNL的220例上尿路结石患者的临床资料,根据穿刺路径分为两组,经肾上盏穿刺为观察组(n=108),经肾中盏穿刺为对照组(n=112)。对比两组患者的治疗效果及手术并发症。结果:观察组患者手术时间(46.42±9.73 min vs 69.13±15.78 min)、住院时间(5.13±1.20天vs 6.29±1.53天)均明显低于对照组(均P<0.05),观察组患者一期结石清除率(82.41%vs 71.43%)显著高于对照组(P<0.05),两组患者术后血红蛋白下降量及肌酐值无明显差异(均P>0.05)。两组患者术后并发症总发生率无明显差异(P>0.05)。结论:超声引导下经肾上盏穿刺路径行PCNL可缩短手术时间及住院时间,提高一期结石清除率,临床效果确切,安全有效。Objective:To explore the clinical effect of ultrasound-guided puncture paths of the upper and middle renal calyxes in percutaneous nephrolithotomy(PCNL).Methods:A retrospective analysis was conducted on the clinical data of 220 patients with upper urinary calculi who underwent PCNL at Yichang Central People's Hospital from May 2022 to October 2023.The patients were divided into two groups according to the puncture path:the observation group(n=108)underwent puncture of the upper renal calyx,and the control group(n=112)underwent puncture of the middle renal calyx.The treatment effects and surgical complications of the two groups were compared.Results:The operation time(46.42±9.73 min vs 69.13±15.78 min)and hospital stay(5.13±1.20 days vs 6.29±1.53 days)in the observation group were significantly lower than those of the control group(both P<0.05).The one-stage stone clearance rate of the observation group(82.41%vs 71.43%)was significantly higher than that of the control group(P<0.05).There was no significant difference in the decrease of hemoglobin and creatinine values between the two groups(both P>0.05).There was no significant difference in the total incidence of postoperative complications between the two groups(P>0.05).Conclusion:Ultrasound-guided puncture of the upper renal calyx for PCNL can shorten the operation time and hospital stay with definite clinical effects,which is safe and effective.

关 键 词：经皮肾镜取石术 超声引导 肾结石 肾上盏 肾中盏 

分 类 号：R699.2[医药卫生—泌尿科学]