B超引导经皮肾镜气压弹道超声联合碎石治疗肾结石的临床效果  

Clinical Effect of B-ultrasound Guided Percutaneous Nephroscopic Pneumatic Ballistic Ultrasound Combined with Lithotripsy in the Treatment of Renal Calculi

作　　者：吴方圆[1] WU Fangyuan(Department of Urology,Suining County People's Hospital,Xuzhou 221200,Jiangsu,China)

机构地区：[1]睢宁县人民医院泌尿外科,江苏徐州221200

出　　处：《世界复合医学(中英文)》2025年第1期127-130,共4页World Journal of Complex Medicine

摘　　要：目的探讨B超引导经皮肾镜气压弹道超声联合碎石治疗肾结石的临床效果研究。方法选取2021年1月—2023年12月睢宁县人民医院诊治的50例肾结石患者为研究对象,根据不同的治疗方法分为两组,各25例。观察组进行B超引导经皮肾镜气压弹道超声联合碎石治疗,对照组进行输尿管软镜碎石术治疗。比较两组围手术期指标、术后指标、肾功能指标、术中意外损伤事件发生率。结果观察组一期建立皮肤肾脏通路成功率为100.00%(25/25),略高于对照组的80.00%(20/25),差异无统计学意义(P>0.05)。观察组手术时间为(68.39±2.71)min,短于对照组的(102.75±2.69)min,术中出血量为(49.28±4.16)mL,少于对照组的(76.39±4.52)mL,差异均有统计学意义(t=44.993、22.066,P均<0.05)。两组术后发热率、一次性结石清除率、术中意外损伤事件发生率比较,差异均无统计学意义(P均>0.05)。观察组术后24 h尿量、血钾、血钠、血肌酐改善情况均优于对照组,差异均有统计学意义(P均<0.05)。结论B超引导经皮肾镜气压弹道超声联合碎石治疗肾结石效果显著,可提高结石清除率,缩短肾功能恢复时间。Objective To investigate the clinical effect of B-ultrasound guided percutaneous nephroscopic pneumatic ballistic ultrasound combined with lithotripsy in the treatment of renal calculi.Methods From January 2021 to December 2023,a total of 50 patients with renal calculi diagnosed and treated in Suining County People's Hospital were selected as the research objects.According to different treatment methods,they were divided into two groups,25 cases in each group.The observation group was treated with B-ultrasound guided percutaneous nephroscopic pneumatic ballistic ultrasound combined with lithotripsy,and the control group was treated with flexible ureteroscopic lithotripsy.The perioperative indexes,postoperative indexes,renal function indexes and incidence of intraoperative accidental injury events were compared between the two groups.Results The success rate of establishing the cutaneous kidney pathway in the observation group was 100.00%(25/25),which was slightly higher than that of the control group 80.00%(20/25),the difference was not statistically significant(P>0.05).The operative time of the observation group was(68.39±2.71)min,which was shorter than(102.75±2.69)min of the control group,the intraoperative blood loss of the observation group was(49.28±4.16)mL,which was higher than(76.39±4.52)mL of the control group,and the differences were statistically significant(t=44.993,22.066,both P<0.05).There were no significant differences in postoperative fever rate,onetime stone clearance rate and incidence of accidental injury events between the two groups(all P>0.05).The improvement of 24 h urine volume,serum potassium,serum sodium and serum creatinine in the observation group were better than that in the control group,and the differences were statistically significant(all P<0.05).Conclusion B-ultrasound guided percutaneous nephrolithotomy pneumatic ballistic ultrasound combined with lithotripsy is effective in the treatment of renal calculi,which can improve the stone clearance rate and shorten the recovery ti

关 键 词：住院时间 一次性结石清除率 手术时间 

分 类 号：R699.2[医药卫生—泌尿科学]