微创经皮肾穿刺碎石术治疗上尿路结石的临床效果分析  

Analysis of the Clinical Effect of Minimally Invasive Percutaneous Nephro⁃lithotripsy in the Treatment of Upper Urinary Tract Stones

作　　者：陶明国 李良成 TAO Mingguo;LI Liangcheng(Department of Urology,Qiandongnan Traditional Chinese Medicine Hospital,Kaili 556000,Guizhou,China)

机构地区：[1]黔东南州中医医院泌尿外科,贵州凯里556000

出　　处：《中外医疗》2024年第22期14-17,共4页China & Foreign Medical Treatment

摘　　要：目的分析上尿路结石患者应用微创经皮肾穿刺治疗的临床效果。方法随机选取2022年7月—2023年9月黔东南州中医医院泌尿外科收治的80例上尿路结石患者作为研究对象。按不同治疗方法将其分成两组,每组40例,对照组行尿道输尿管镜下碎石术治疗,观察组行微创经皮肾穿刺取石术治疗。对比两组一次性碎石成功率、并发症、术中出血量、手术时间及住院时间。结果观察组患者的手术时间为(125.52±17.56)min,短于对照组的(135.21±20.46)min,观察组患者的术中出血量为(20.27±6.50)mL,低于对照组的(25.22±8.73)mL,观察组患者的住院时间为(7.10±1.40)d,短于对照组的(8.58±1.08)d,差异有统计学意义(t=2.273、7.548、3.651,P均<0.05)。对照组患者的并发症总发生率为10.00%(4/40),高于观察组的2.50%(1/40),但差异无统计学意义(χ^(2)=0.853,P>0.05);观察组的一次性碎石成功率为92.50%(37/40),高于对照组的70.00%(28/40),差异有统计学意义(χ^(2)=6.646,P<0.05)。结论通过微创经皮肾穿刺碎石术对上尿道结石治疗,缩短患者手术时间,降低并发症的发生率,对碎石一次成功率也有比较大的优势。Objective To analyze the effect of minimally invasive percutaneous renal biopsy in the treatment of upper urinary tract calculi.Methods A total of 80 patients with upper urinary tract stones admitted to the Department of Urology in Qiandongnan Traditional Chinese Medicine Hospital from July 2022 to September 2023 were randomly selected as the study objects.They were divided into two groups according to different treatment methods,40 cases in each group.The control group received urethral ureteroscopic lithotripsy,and the observation group received minimally invasive percutaneous nephrolithotomy.The success rate of one-off lithotripsy,complications,intraoperative blood loss,operative time and hospital stay between the two groups were compared.Results The operation time of the observation group was(125.52±17.56)min,which was shorter than(135.21±20.46)min of the control group,the intraoperative blood loss of the observation group was(20.27±6.50)mL,which was lower than that of the control group(25.22±8.73)mL,the hospitalization time of the observation group was(7.10±1.40)d,which was shorter than that of the control group(8.58±1.08)d,the differences were statistically significant(t=2.273,7.548,3.651,all P<0.05).The total incidence of complications in control group was 10.00%(4/40),which was higher than that in observation group 2.50%(1/40),and but the difference was not statistically significant(χ^(2)=0.853,P>0.05).The success rate of one-off lithotripsis in observation group was 92.50%(37/40),which was higher than that in control group 70.00%(28/40),and the difference was statistically significant(χ^(2)=6.646,P<0.05).Conclusion Minimally invasive percutaneous nephrolithotomy treatment of upper urethral calculi can shorten the operation time reduce the incidence of complications.

关 键 词：上尿路结石 手术 微创 经皮肾穿刺取石术 并发症 

分 类 号：R69[医药卫生—泌尿科学]