中华泌尿外科杂志
中華泌尿外科雜誌
중화비뇨외과잡지
CHINESE JOURNAL OF UROLOGY
2011年
1期
17-19
,共3页
陆鸿海%李爱华%Demetrius H Bagley%Steve Dong
陸鴻海%李愛華%Demetrius H Bagley%Steve Dong
륙홍해%리애화%Demetrius H Bagley%Steve Dong
肾结石%肾造口术,经皮%并发症%结石拦截器
腎結石%腎造口術,經皮%併髮癥%結石攔截器
신결석%신조구술,경피%병발증%결석란절기
Kidney calculi%Nephrostomy,percutaneous%Complications%PercSys accordion device
目的 探讨折叠式结石拦截器在经皮肾镜取石术(PCNL)治疗肾结石中的有效性和安全性.方法 回顾分析108例行PCNL肾结石患者临床资料.术中应用折叠式结石拦截器56例,未应用52例.2组患者性别、年龄、结石大小比较差异均无统计学意义(P＞0.05).比较2组在结石清除率、手术时间、术中出血量、住院天数和并发症等差异. 结果 2组结石清除率分别为94.6%(53/56)和82.7%(43/52),手术时间分别为112、142 min,出血量为205、245 ml,差异均有统计学意义(P＜0.05).2组住院时间分别为2.8、3.0 d,并发症发生率分别为16.1%(9/56)和15.4%(8/52),2组比较差异无统计学意义(P＞0.05). 结论折叠式结石拦截器使用简单、方便、安全,PCNL术中能有效阻止结石碎片下滑进入输尿管,提高结石清除率、缩短手术时间、减少手术出血量、不增加手术并发症.
目的 探討摺疊式結石攔截器在經皮腎鏡取石術(PCNL)治療腎結石中的有效性和安全性.方法 迴顧分析108例行PCNL腎結石患者臨床資料.術中應用摺疊式結石攔截器56例,未應用52例.2組患者性彆、年齡、結石大小比較差異均無統計學意義(P＞0.05).比較2組在結石清除率、手術時間、術中齣血量、住院天數和併髮癥等差異. 結果 2組結石清除率分彆為94.6%(53/56)和82.7%(43/52),手術時間分彆為112、142 min,齣血量為205、245 ml,差異均有統計學意義(P＜0.05).2組住院時間分彆為2.8、3.0 d,併髮癥髮生率分彆為16.1%(9/56)和15.4%(8/52),2組比較差異無統計學意義(P＞0.05). 結論摺疊式結石攔截器使用簡單、方便、安全,PCNL術中能有效阻止結石碎片下滑進入輸尿管,提高結石清除率、縮短手術時間、減少手術齣血量、不增加手術併髮癥.
목적 탐토절첩식결석란절기재경피신경취석술(PCNL)치료신결석중적유효성화안전성.방법 회고분석108례행PCNL신결석환자림상자료.술중응용절첩식결석란절기56례,미응용52례.2조환자성별、년령、결석대소비교차이균무통계학의의(P＞0.05).비교2조재결석청제솔、수술시간、술중출혈량、주원천수화병발증등차이. 결과 2조결석청제솔분별위94.6%(53/56)화82.7%(43/52),수술시간분별위112、142 min,출혈량위205、245 ml,차이균유통계학의의(P＜0.05).2조주원시간분별위2.8、3.0 d,병발증발생솔분별위16.1%(9/56)화15.4%(8/52),2조비교차이무통계학의의(P＞0.05). 결론절첩식결석란절기사용간단、방편、안전,PCNL술중능유효조지결석쇄편하활진입수뇨관,제고결석청제솔、축단수술시간、감소수술출혈량、불증가수술병발증.
Objective To evaluate the efficacy and safety of percutaneous nephrolitholomy with a PercSys accordion stone management device in the treatment of renal calculi. Methods The data of 108 patients with renal calculi who underwent PCNL were retrospectively analyzed. Outcomes of 56 patients who underwent PCNL with the PercSys accordion device (group A) were compared with the outcomes of 52 patients who underwent PCNL without the accordion device (group B). Clinical data including stone-free rate, operative time, estimated blood loss, length of hospital stay and complications were compared. Results The stone-free rates of group A and group B were 94. 6% and 82.7%, operative time was 112 min and 142 min, the mean blood loss was 205 ml and 245 ml, respectively. The differences between the 2 groups were significant(P＜0. 05). The length of hospital stay was 2.8 d and 3.0 d, the complication rates were 16.1 % and 15.4%. There was no significant difference between the 2 groups for these 2 aspects(P＞0. 05). Conclusions The PercSys accordion device can be easily inserted and deployed during PCNL. It successfully prevents antegrade stone fragment migration, increases the stone-free rate and reduces the operative time and blood loss.
