[1]陈忠华.微创经皮肾镜取石术在复杂性泌尿系统结石治疗中的应用[J].医学信息,2020,(11):100-101.[doi:10.3969/j.issn.1006-1959.2020.11.029]
 CHEN Zhong-hua.Application of Minimally Invasive Percutaneous Nephrolithotomy in the Treatment of Complex Urinary Calculi[J].Medical Information,2020,(11):100-101.[doi:10.3969/j.issn.1006-1959.2020.11.029]
点击复制

微创经皮肾镜取石术在复杂性泌尿系统结石治疗中的应用()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期数:
2020年11期
页码:
100-101
栏目:
临床研究
出版日期:
2020-06-01

文章信息/Info

Title:
Application of Minimally Invasive Percutaneous Nephrolithotomy in the Treatment of Complex Urinary Calculi
文章编号:
1006-1959(2020)11-0100-02
作者:
陈忠华
(泰和县人民医院泌尿外科,江西 泰和 343700)
Author(s):
CHEN Zhong-hua
(Department of Urology,Taihe County People’s Hospital,Taihe 343700,Jiangxi,China)
关键词:
微创经皮肾镜泌尿系统结石取石术
Keywords:
Minimally invasivePercutaneous nephroscopyUrinary calculiStone extraction
分类号:
R699
DOI:
10.3969/j.issn.1006-1959.2020.11.029
文献标志码:
A
摘要:
目的 观察微创经皮肾镜取石术在复杂性泌尿系统结石治疗中的应用效果。方法 选取2018年3月~2019年3月在我院治疗的94例复杂性泌尿系统结石患者为研究对象,采用随机数字表法分为对照组和观察组,各47例。对照组采用常规开放手术治疗,观察组采用微创经皮肾镜取石术治疗,比较两组临床手术指标(手术时间、术中出血量、下床活动时间、首次排气时间、住院时间)、结石清除率、并发症发生情况。结果 观察组手术时间、术中出血量、下床活动时间、首次排气时间、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组结石清除率高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论 微创经皮肾镜取石术在复杂性泌尿系统结石清石率高,对患者创伤小,住院时间短,且并发症少,应用安全性良好,具有一定的应用价值。
Abstract:
Objective To observe the effect of minimally invasive percutaneous nephrolithotomy in the treatment of complex urinary calculi.Methods A total of 94 patients with complex urinary calculi treated in our hospital from March 2018 to March 2019 were selected as the research object,using the random number table method was used to divide into control group and observation group, with 47 cases in each group. The control group was treated with conventional open surgery, the observation group was treated with minimally invasive percutaneous nephrolithotomy, the clinical operation indicators (operation time, intraoperative blood loss, time to get out of bed, time to first exhaust, hospitalization time), stone removal rate, and complications were compared between the two groups.Results The operation time, intraoperative blood loss, out-of-bed activity time, first exhaust time and hospitalization time of the observation group were shorter than that of the control group, the difference was statistically significant (P<0.05); the stone removal rate of the observation group was higher than that of the control group, the difference was statistically significant (P<0.05); the incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion Minimally invasive percutaneous nephrolithotomy has a high rate of clearing stones in complex urinary tract stones, less trauma to patients,shorter hospital stay,less complications, good application safety and certain application value.

参考文献/References:

[1]陈立红,章永坚,沈晗.微创经皮肾镜取石术联合Ⅱ期逆行输尿管软镜治疗复杂性肾结石96例[J].国际泌尿系统杂志,2016,36(3):321-323.[2]陈星,郭剑明,徐志兵,等.肾结石评分系统用于经皮肾镜取石术的临床研究[J].中华泌尿外科杂志,2014,35(1):40.[3]李小航,朱玮,李九智,等.不同肾盏穿刺微创经皮肾镜取石术治疗复杂性肾结石的疗效比较[J].临床泌尿外科杂志,2017,16(6):413-417.[4]李茂章,廖锦先,叶向阳.彩超引导下微创经皮肾镜碎石取石术治疗复杂性上尿路结石的临床应用[J].中国临床新医学,2014,7(6):408-410.[5]崔崎,韩玲.经皮肾镜取石术治疗老年肾铸型结石的临床疗效[J].中国老年学杂志,2014,33(7):1692.

相似文献/References:

[1]任海滨.微创手术治疗胆囊结石合并胆总管结石的临床疗效分析[J].医学信息,2018,(02):107.[doi:10.3969/j.issn.1006-1959.2018.02.038]
 REN Hai-bin.Clinical Analysis of Minimally Invasive Surgery for Cholecystolithiasis Complicated by Choledocholithiasis[J].Medical Information,2018,(11):107.[doi:10.3969/j.issn.1006-1959.2018.02.038]
[2]朱海路,李章健,赵 红,等.内镜下改良切口个性化三线减张鼻中隔成形的疗效分析[J].医学信息,2018,(04):90.[doi:10.3969/j.issn.1006-1959.2018.04.029]
 ZHU Hai-lu,LI Zhang-jian,ZHAO Hong,et al.Analysis of the Curative Effect of Individualized Three-line Descaling Nasal Septum with Modified Incision under Endoscope[J].Medical Information,2018,(11):90.[doi:10.3969/j.issn.1006-1959.2018.04.029]
[3]周 静,张廷龙,雍 勉,等.微创经皮肾穿刺取石和经尿道输尿管镜碎石治疗 嵌顿性输尿管上段结石的疗效对比分析[J].医学信息,2018,(07):106.[doi:10.3969/j.issn.1006-1959.2018.07.034]
 ZHOU Jing,ZHANG Ting-Long,YONG Mian,et al.Comparative Analysis of Minimally Invasive Percutaneous Nephrolithotomy and Transurethral Ureteroscopic Lithotripsy for the Treatment of Incarcerated Upper Ureteral Calculi[J].Medical Information,2018,(11):106.[doi:10.3969/j.issn.1006-1959.2018.07.034]
[4]陶玉林.开环式微创肛肠吻合器痔切闭术治疗脱垂性痔病的临床研究[J].医学信息,2018,(08):107.[doi:10.3969/j.issn.1006-1959.2018.08.035]
 TAO Yu-lin.Clinical Study on Treatment of Prolapse Hemorrhoids by Open-loop Minimally Invasive Anorectal Stapler and Hemorrhoidectomy[J].Medical Information,2018,(11):107.[doi:10.3969/j.issn.1006-1959.2018.08.035]
[5]丁永国,李昌隆,孙建民,等.经皮穿刺椎间孔镜下应用TESSYS技术治疗 腰椎间盘突出症的临床疗效观察[J].医学信息,2018,(16):38.[doi:10.3969/j.issn.1006-1959.2018.16.011]
 DING Yong-guo,LI Chang-long,SUN Jian-min,et al.Clinical Observation of Percutaneous Lumbar Disc Herniation Treated by TESSYS Technique under Transforaminal Endoscopy[J].Medical Information,2018,(11):38.[doi:10.3969/j.issn.1006-1959.2018.16.011]
[6]田 颖,贾 山,董万青,等.经括约肌间瘘管结扎术的治疗现状[J].医学信息,2018,(22):47.[doi:10.3969/j.issn.1006-1959.2018.22.014]
 TIAN Ying,JIA Shan,DONG Wan-qing,et al.Current Status of Treatment of Sphincter Fistula[J].Medical Information,2018,(11):47.[doi:10.3969/j.issn.1006-1959.2018.22.014]
[7]曹志彬,夏琴琴,夏 磊,等.精囊镜在血精症诊治中的应用[J].医学信息,2019,(18):187.[doi:10.3969/j.issn.1006-1959.2019.18.067]
 CAO Zhi-bin,XIA Qin-qin,XIA Lei,et al.Application of Seminal Vesiculoscopy in the Diagnosis and Treatment of Hemospermia[J].Medical Information,2019,(11):187.[doi:10.3969/j.issn.1006-1959.2019.18.067]
[8]葛平刚.经皮肾镜与输尿管镜治疗嵌顿性输尿管上段结石的疗效[J].医学信息,2019,(20):114.[doi:10.3969/j.issn.1006-1959.2019.20.034]
 GE Ping-gang.Percutaneous Nephrolithotomy and Ureteroscopy for the Treatment of Incarcerated Ureteral Calculi[J].Medical Information,2019,(11):114.[doi:10.3969/j.issn.1006-1959.2019.20.034]
[9]梁 旭,王永翔,陈志芳,等.脂肪汗腺刮吸联合微波微创治疗腋臭的临床评价[J].医学信息,2019,(13):183.[doi:10.3969/j.issn.1006-1959.2019.13.061]
 LIANG Xu,WANG Yong-xiang,CHEN Zhi-fang,et al.Clinical Evaluation of Fat Sweat Gland Scraping Combined with Microwave Minimally Invasive Treatment of Underarm Odor[J].Medical Information,2019,(11):183.[doi:10.3969/j.issn.1006-1959.2019.13.061]
[10]陆灵娟,刘继远,佘志强.低温等离子射频手术治疗喉部良性病变的临床疗效[J].医学信息,2019,(14):110.[doi:10.3969/j.issn.1006-1959.2019.14.034]
 LU Ling-juan,LIU Ji-yuan,SHE Zhi-qiang.Clinical Efficacy of Low Temperature Plasma Radiofrequency Ablation for Benign Lesions of the Larynx[J].Medical Information,2019,(11):110.[doi:10.3969/j.issn.1006-1959.2019.14.034]

更新日期/Last Update: 1900-01-01