B超引导对比X线引导的经皮肾镜手术对肾结石患者的疗效比较  

Effect Comparison of B Ultrasound-guided and X-ray Guided Percutaneous Nephrolithotomy for Renal Calculi Patients

作　　者：邓克非[1] 刘跃江[1] 李小滨[1] 

机构地区：[1]四川省自贡市第一人民医院泌尿外科,四川自贡643000

出　　处：《智慧健康》2017年第15期111-113,共3页Smart Healthcare

摘　　要：目的对比分析B超引导下以及X线引导下的经皮肾镜手术的临床治疗效果。方法选择2014年5月至2016年11月,来我院接受手术治疗的310例肾结石患者作为研究对象,随机分为两组;观察组243例患者采用B超引导的经皮肾镜手术,对照组67例采用X线引导的经皮肾镜手术,对两组患者的肾镜一次介入成功率、平均手术时间以及术中出血量、发生迟发性出血例数等的状况,随访3个月后的结石清除率进行对比,从而比较两种手术方式的临床应用效果。结果研究统计结果显示,观察组与对照组患者的肾镜一次介入成功率分别为91.3%和80.6%,差异具有统计学意义(P<0.05);观察组与对照组的平均手术时间分别为(57.9±5.2)min和(53.9±4.3)min,差异具有统计学意义(P<0.05);观察组迟发性出血率为6.6%,明显低于对照组的17.9%;随访3个月后,观察组的结石清除率为94.6%,对照组为91.0%,患者术后复发率,观察组为6.6%,对照组为11.9%。结论与X线引导的经皮肾镜手术相比,B超引导的经皮肾镜手术,肾镜一次介入成功率高,手术时间短,术中出血量少,结石接清除率高,且术后复发率低,临床治疗效果更加优越。Objective To compare and analyze clinical curative effect of percutaneous nephrolithotomy under B ultrasound and X-ray guidance. Methods Choose 310 cases renal calculi patients received surgery in our hospital from May 2014 to November 2016 as research objects, divide them into two groups randomly, 243 cases in observation group were treated with ultrasound guided percutaneous nephrolithotomy, and 67 cases in control group with X-ray guided percutaneous nephrolithotomy. Compare nephrolithotomy single interventional success rate, average operation time and intraoperative hemorrhage, delayed hemorrhage cases, calculi removal rate of 3 months follow-up of two groups, and compare clinical application effect of two surgical methods. Results Study and statistical results showed nephrolithotomy single interventional success rate of observation and control group was 91.3% and 80.6%, difference showed statistical significance(P<0.05); average operation time of observation and control group was(57.9±5.2) min and(53.9±4.3) min respectively, difference showed statistical significance(P<0.05); delayed hemorrhage rate of observation group was 6.6%, significantly lower than 17.9% of control group; after 3 months follow-up, calculi removal rate of observation group was 94.6%, that of control group was 91%, postoperative recurrence rate of observation group was 6.6%, that of control group was 11.9%. Conclusion Compared with X-ray guided percutaneous nephrolithotomy, B ultrasound guided percutaneous nephrolithotomy has higher nephrolithotomy single interventional success rate, shorter operation time, less intraoperative blood loss, higher calculi removal rate, lower postoperative recurrence rate and better clinical treatment effect.

关 键 词：B超 X线 经皮肾镜手术 疗效比较 

分 类 号：R699.2[医药卫生—泌尿科学] R816.7[医药卫生—外科学]