超声引导下微通道经皮肾镜取石术在肾结石患者中的应用价值(1)
[摘要]目的 探讨超声引导下微通道经皮肾镜取石术(MPNL)对肾结石(RC)患者的应用价值。方法 用随机数字表法将我院2016年3月～2018年1月收治的58例RC患者分为对照组和观察组，每组各29例。对照组给予大通道碎石取石术进行治疗，观察组实施超声引导下MPNL进行治疗，比较两组的临床观察指标、并发症总发生率、一次性结石清除率及结石复发率。结果 观察组的术中出血量少于对照组，手术时间、下床活动时间和住院时间均短于对照组，并发症总发生率低于对照组，一次性结石清除率高于对照组，差异有统计学意义(P<0.05)，两组的结石复发率比较，差异无统计学意义(P>0.05)。结论 对RC患者使用超声引导下MPNL进行治疗有助于降低其手术并发症发生率，缩短手术时间，提高一次性结石清除率，有重要的应用价值。
[关键词]超声引导下微通道经皮肾镜取石术;肾结石;应用价值;一次性结石清除率;结石复发率;并发症发生率
[中图分类号] R699.2 [文献标识码] A [文章编号] 1674-4721(2019)10(a)-0098-03
[Abstract] Objective To explore the value of ultrasound-guided microchannel percutaneous nephrolithotomy (MPNL) in patients with renal calculi(RC). Methods A total of 58 patients with RC admitted to our hospital from March 2016 to January 2018 were selected and divided into control groups and observation group according to random number table method， 29 cases in each group. The control group was treated with large channel lithotripsy. The observation group was treated with ultrasound-guided MPNL. The clinical observation index， total incidence complication rate and one-time stone removal rate and rate of stone recurrence were compared between the two groups. Results The intraoperative blood loss of the observation group was less than that of the control group， the operation time， the time of getting out of bed and the hospitalization time were shorter than the control group， the total incidence of complications was lower than that of the control group， the clearance rate of one-time stones was higher than that of the control group， the differences were statistically significant (P<0.05). There was no significant difference in the recurrence rate of stones between the two groups (P>0.05). Conclusion Ultrasound-guided MPNL for patients with RC can reduce the incidence of surgical complications， shorten the operation time， and improve the clearance rate of disposable stones. It has important application value.
[Key words] Ultrasound-guided microchannel percutaneous nephrolithotomy; Renal calculi; Application value; One-time stone removal rate; Stone recurrence rate; Incidence rate of complication
肾结石(RC)是指钙、草酸、尿酸等晶状物质在肾脏异常积聚，从而引发患者出现腰部酸胀不适、腰痛、血尿等临床症状的泌尿系统疾病，多发于青壮年男性[1]。RC属于临床的常见病与多发病，患者一旦治疗不当或不及时，都有可能引发感染、肾功能不全等不良反应，进而影响到其身体健康与生命安全[2]。当前临床的治疗方式包括药物治疗及手术治疗，相较于前者，后者的治疗效果更为显著。近年来随着微创手术在临床的广泛应用，患者的临床疗效与预后效果获得了很大的提升。微创手术具备微创、安全、高效的特点，可对患者的机体产生较小的损伤，有助于缩短手术时间、减少术中出血量[3]。本研究旨在探讨超声引导下微通道經皮肾镜取石术(MPNL)对RC患者的应用价值，现报道如下。, 百拇医药(黄忠花)
[关键词]超声引导下微通道经皮肾镜取石术;肾结石;应用价值;一次性结石清除率;结石复发率;并发症发生率
[中图分类号] R699.2 [文献标识码] A [文章编号] 1674-4721(2019)10(a)-0098-03
[Abstract] Objective To explore the value of ultrasound-guided microchannel percutaneous nephrolithotomy (MPNL) in patients with renal calculi(RC). Methods A total of 58 patients with RC admitted to our hospital from March 2016 to January 2018 were selected and divided into control groups and observation group according to random number table method， 29 cases in each group. The control group was treated with large channel lithotripsy. The observation group was treated with ultrasound-guided MPNL. The clinical observation index， total incidence complication rate and one-time stone removal rate and rate of stone recurrence were compared between the two groups. Results The intraoperative blood loss of the observation group was less than that of the control group， the operation time， the time of getting out of bed and the hospitalization time were shorter than the control group， the total incidence of complications was lower than that of the control group， the clearance rate of one-time stones was higher than that of the control group， the differences were statistically significant (P<0.05). There was no significant difference in the recurrence rate of stones between the two groups (P>0.05). Conclusion Ultrasound-guided MPNL for patients with RC can reduce the incidence of surgical complications， shorten the operation time， and improve the clearance rate of disposable stones. It has important application value.
[Key words] Ultrasound-guided microchannel percutaneous nephrolithotomy; Renal calculi; Application value; One-time stone removal rate; Stone recurrence rate; Incidence rate of complication
肾结石(RC)是指钙、草酸、尿酸等晶状物质在肾脏异常积聚，从而引发患者出现腰部酸胀不适、腰痛、血尿等临床症状的泌尿系统疾病，多发于青壮年男性[1]。RC属于临床的常见病与多发病，患者一旦治疗不当或不及时，都有可能引发感染、肾功能不全等不良反应，进而影响到其身体健康与生命安全[2]。当前临床的治疗方式包括药物治疗及手术治疗，相较于前者，后者的治疗效果更为显著。近年来随着微创手术在临床的广泛应用，患者的临床疗效与预后效果获得了很大的提升。微创手术具备微创、安全、高效的特点，可对患者的机体产生较小的损伤，有助于缩短手术时间、减少术中出血量[3]。本研究旨在探讨超声引导下微通道經皮肾镜取石术(MPNL)对RC患者的应用价值，现报道如下。, 百拇医药(黄忠花)