输尿管封堵器顺行反向封堵在经皮肾镜碎石取石术中的疗效观察  

Effect of ureteral occlusion apparatus for reverse blocking in percutaneous nephrolithotomy

作　　者：吕游 李庆文[1] 张家俊[1] 薛胜[1] 代昌远 李文永 张晓乐 李建[1] LV You;LI Qingwen;ZHANG Jiajun;XUE Sheng;DAI Changyuan;LI Wenyong;ZHANG Xiaole;LI Jian(Department of Urology,the First Affiliated Hospital of Bengbu Medical College,Bengbu 233000,China)

机构地区：[1]蚌埠医学院第一附属医院泌尿外科,安徽蚌埠233000

出　　处：《包头医学院学报》2024年第12期54-57,61,共5页Journal of Baotou Medical College

基　　金：蚌埠市级科技创新指导类项目(20200337)。

摘　　要：目的:探讨在经皮肾镜碎石取石术(percutaneous nephrolithotomy,PCNL)中应用输尿管封堵器进行顺行反向封堵的临床价值。方法:选择自2019年9月至2022年9月蚌埠医学院第一附属医院泌尿外科住院的肾结石患者60例,其中在行PCNL术中使用输尿管封堵器进行反向封堵的30例患者作为观察组,采用常规PCNL治疗的30例患者作为对照组,比较两组患者的手术出血量、手术时间、结石清除率、下移率和相关并发症发生率,并对疗效进行优、良、差分级综合性评估。结果:观察组术中出血量(55.83±2.07)mL,与对照组出血量(55.73±2.02)mL差异无统计学意义(P>0.05);观察组手术时间48.50(47.00~50.00)min和结石清除率(96.67%)高于对照组的手术时间46.00(45.00~48.00)min和结石清除率(80.00%)(P<0.05);观察组结石下移率(3.33%)和相关并发症发生率(3.33%)低于对照组的下移率(23.33%)和并发症发生率(23.33%)(P<0.05)。结论:在PCNL术中应用输尿管封堵器进行顺行反向封堵,可有效促进结石清除和避免结石下移等不良事件发生。Objective:To investigate the clinical value of ureteral occlusion apparatus for reverse blocking in percutaneous nephrolithotomy(PCNL).Methods:Sixty patients with renal calculi hospitalized in the Department of Urology,the First Affiliated Hospital of Bengbu Medical College from September 2019 to September 2022 were selected.Among them,30 patients who used ureteral occlusion apparatus for reverse blocking during PCNL were used as the observation group,and 30 patients who were treated with conventional PCNL were used as the control group.The amount of bleeding,operation time,stone clearance rate,downward rate and incidence of related complications were compared between the two groups,and the efficacy was evaluated comprehensively by excellent,good and poor grades.Results:There was no significant difference in intraoperative bleeding volume between the observation group[(55.83±2.07)mL]and the control group[(55.73±2.02)mL](P>0.05).The operation time and stone clearance rate of the observation group were 48.50(47.00-50.00)min and 96.67%,which were higher than 46.00(45.00-48.00)min and 80.00%of the control group(P<0.05).The stone moving rate of the observation group was 3.33%,and the incidence of related complications was 3.33%,which were lower than 23.33%and 23.33%of the control group(P<0.05).Conclusion:The application of ureteral occlusion apparatus in PCNL for reverse blocking can effectively promote stone clearance and avoid adverse events such as stone downward movement.

关 键 词：输尿管封堵器 反向封堵 PCNL 结石清除 

分 类 号：R699[医药卫生—泌尿科学]