单通道微创经皮肾镜联合输尿管软镜治疗复杂性肾结石临床效果探讨

《单通道微创经皮肾镜联合输尿管软镜治疗复杂性肾结石临床效果探讨》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、觀辯翹关雜尿爵镢杂往2018-03-2910:29:58中国现代医生2018年6期沈在雄郑周达林海利许振强郑艺淑苏锦锋［摘耍］鬥的探討单通道微创经皮肾镜联合输鉍管软镜碎心取石术治疗复杂性肾结心的临床效果及安全性。方法系统回顾性分析2014年1月〜2017年6月我院收治的98例复杂性贤结石患者，根据手术方式不同分组。研究组采用单通道微创经皮肾镜联合输尿管软镜(顺行和逆行，1期和2期)碎石取石术治疗(42例)，对照组采用多通道微创经皮肾镜碎石取石术治疗(56例)，比较两组复杂性肾结石的治疗效果(结石淸除率)、手术操作时间、术中总出血量、术后住院时间和并发症发牛.情况。结果研

2、宂组治疗复杂性肾结石术后3〜5d结石清除率与对照组比较，差好无统计学意义(P>0.05)；但研宄组术后3个月结石清除率明显高于对照组(P<0.05)。研宄组手术操作时间长于对照组，术中总出血景明显少于对照组(P<0.05);两者术后住院吋间比较，差异无统计学意义(P>0.05)。两组大出血、术后发热、感染性休克、肾功能受损等并发症发生率相比较，研究组总的并发症发生率低于对照组(P<0.05)。结论单通道微创经皮肾镜联合输尿管软镜手术效果确切，其安全性和有效性较高，值得推广应用。［关键词］单通道微创经皮肾镜；输尿管软镜；复杂性肾结石［中图分类号］R699［文献标识码］B［

3、文章编号】1673-9701(2018)06-0038-04［Abstract］ObjectiveToinvestigatetheclinicaleffectandsafetyofsingle-channelminimallyinvasivepercutaneousnephrolithotomycombinedwithureteroscopiclithotripsyinthetreatmentofcomplexrenalcalculi.MethodsAretrospectiveanalysisof98casesofcomplicatedrenalcalculiadmit

4、tedtoourhospitalfromJanuary2014toJune2017wasperformed.Thepatientsweredividedintodifferentgroupsaccordingtodifferentsurgicalmethods.Theexperimentalgroupwastreatedwithsingle-channelminimallyinvasivepercutaneousnephrolithotomycombinedwithureteroscope(progradeandretrograde,stageIandstage2)li

5、thotripsy(42cases).Thecontrolgroupwastreatedwithminimallyinvasivepercutaneousnephrolithotomylithotripsy(56cases).Complicatedrenalcalculi(calculiremovalrate),operationtime,totalintraoperativebloodlossvolume，postoperativehospitalizationtimeandcomplicationswerecomparedbetweenthetwogroups.Re

6、sultsTherewasnosignificantdifferenceincalculiremovalratebetweenthestudygroupandthecontrolgroupin3-5daysafterthetreatmentofcomplexnephrolithiasis(P>0.05);however,thecalculiremovalrateintheexperimentalgroupat3monthsafteroperationwassignificantlyhigherthanthatinthecontrolgroup(P<0.05).Theop

7、erationtimeoftheexperimentalgroupwaslongerthanthatofthecontrolgroup，andthetotalamountofbleedingduringoperationwassignificantlylessthanthatofthecontrolgroup(P<0.05).Therewasnosignificantdifferencebetweenthetwogroupsinpostoperativehospitalizationtime(P>0.05).Bleeding,postop