复杂肾结石一期手术中应用被动可弯负压吸引鞘的效果观察  

Observation of the effect of flexible suction ureteral access sheath in one-stage operation of complex renal calculi

作　　者：张泉东 刘辉 Zhang Quandong;Liu Hui(Department of Urinary Surgery,Beijing Daxing District Hospital of Integrated Chinese and Western Medicine,Beijing 102600,China)

机构地区：[1]北京市大兴区中西医结合医院泌尿外科,北京102600

出　　处：《首都医科大学学报》2024年第5期864-869,共6页Journal of Capital Medical University

基　　金：北京市大兴区中西医结合医院基本科研业务费自主选题项目(DXZXYW202407)。

摘　　要：目的观察被动可弯负压吸引鞘在复杂肾结石一期手术中的临床治疗效果。方法采用随机数字表法将2023年3月至2024年3月在北京市大兴区中西医结合医院住院手术治疗的120例复杂肾结石患者分为观察组(60例)和对照组(60例)。观察组应用被动可弯负压吸引鞘联合经尿道输尿管软镜激光碎石取石术(flexible uretersocopic litotripsy,FURL),对照组应用普通输尿管鞘联合FURL。对比2组一期手术的平均手术时间、术后的净石率(stone free rate,SFR)、感染指标、出血情况、平均住院日。结果观察组患者的平均手术时间(58.81±15.60)min,术后净石率91.67%(55/60),白细胞计数(7.43±0.52)×10^(9)/L,降钙素原(0.96±0.10)ng/mL,中位住院时间为2(2,3)d,与对照组相比较,差异有统计学意义(P<0.001)。2组血红蛋白下降情况相比,差异无统计学意义(P=0.075)。结论被动可弯负压吸引鞘应用于复杂肾结石一期手术中,可显著提高净石率,减少平均手术时间和平均住院日,降低感染的发生率,值得推广应用。Objective To observe the clinical effect of flexible suction ureteral access sheath in one-stage operation of complex renal calculi.Methods A total of 120 patients with complicated renal calculi who admitted to Beijing Daxing District Hospital of Integrated Chinese and Western Medicine,were randomly divided into two groups,60 in the observation group and 60 in the control group.The patients in the observation group were treated with the flexible suction ureteral access sheath,the patients in the control group were treated with ordinary ureter sheath.The average operation time,stone-free rate,infection index,bleeding and average hospital stay were compared between the two groups.Results The average surgical time of the observation group patients was(58.81±15.60)minutes,the stone free rate was 91.67%(55/60),the white blood cell(WBC)count was(7.43±0.52)×10^(9)/L,the procalcitonin(PCT)was(0.96±0.10)ng/mL,and the inpatient days was 2(2,3)days.Compared with the control group,the difference was statistically significant(P<0.001).There was no statistically significant difference in the decline of hemoglobin(HGB)between the two groups(P=0.075).Conclusions Application of the flexible suction ureteral access sheath in one-stage operation of complex renal calculi can significantly increase the stone-free rate,reduce the average operation time and hospital stay,and reduce the incidence of infection.

关 键 词：被动可弯负压吸引鞘 复杂肾结石 一期手术 

分 类 号：R69[医药卫生—泌尿科学]