陶维雄 施源 李坚 鲁密 王君君 张辉

    [摘要]?目的?對比3种人造肾积水在经皮肾镜取石术中的应用效果。方法?选取武汉市第八医院2020年5月至2022年4月行单通道经皮肾镜取石术患者120例，按人造肾积水方式不同均分为A组、B组、C组。A组患者采用术前留置输尿管导管，通过输尿管导管注入生理盐水，扩张肾盂形成人造肾积水；B组患者术前留置双J管，经导尿管灌注生理盐水充盈膀胱，通过双J管返流扩张肾盂形成人造肾积水；C组患者通过静脉注射呋塞米，采用刺激性利尿的方法主动扩张肾盂形成人造肾积水。对比三组人造肾积水后行经皮肾镜取石术的一次性穿刺成功率、通道建立时间、整体手术时间、结石清除率及手术并发症发生率。结果?三组患者手术均顺利完成，A组及B组患者一次性穿刺成功率、通道建立时间差异无统计学意义(P>0.05)，均高于C组(P0.05)。结论?术前留置双J管制造人工肾积水具有一次性穿刺成功率高、通道建立时间及手术时间短等优势。

    [关键词]?人造肾积水；经皮肾镜取石术；输尿管导管；双J管；刺激性利尿

    [中图分类号]?R691.4?[文献标识码]?A?[DOI]?10.3969/j.issn.1673-9701.2024.12.013

    Application?of?three?artificial?kidney?hydronephrosis?methods?in?percutaneous?nephrolithotripsy

    TAO?Weixiong，?SHI?Yuan，?LI?Jian，?LU?Mi，?WANG?Junjun，?ZHANG?Hui

    Department?of?Urology，?the?Eighth?Hospital?of?Wuhan，?Wuhan?430012，?Hubei，?China

    [Abstract]?Objective?To?compare?the?effects?of?three?kinds?of?artificial?hydronephrosis?in?percutaneous?nephrolithotomy.?Methods?A?total?of?120?patients?who?underwent?single-tract?percutaneous?nephrolithotomy?in?the?Eighth?Hospital?of?Wuhan?from?May?2020?to?April?2022?were?selected?and?divided?equally?into?three?groups?according?to?different?methods?of?artificial?hydronephrosis.?Patients?in?group?A?were?received?preoperative?indwelling?ureteral?catheter?and?injection?of?normal?saline?through?ureteral?catheter?to?dilate?renal?pelvis?and?form?artificial?hydronephrosis.?Patients?in?Group?B?were?placed?with?double?J?catheters?before?surgery ......