中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2011年
11期
35-37
,共3页
肾结石%肾造口术,经皮%钬激光
腎結石%腎造口術,經皮%鈥激光
신결석%신조구술,경피%화격광
Kidney calculi%Nephro stomy,percutaneous%Yag laser
目的 探讨多通道微创经皮肾镜结合钬激光治疗复杂性肾结石的临床疗效.方法 将86例复杂性肾结石患者分为两组,研究组(46例)采用多通道微创经皮肾镜结合钬激光碎石术,对照组(40例)行单通道微创经皮肾镜结合体外冲击波碎石术治疗.比较两组碎石取出时间、结石清除率、术后血红蛋白下降率、术中输血率、术后住院时间及并发症发生率.结果 研究组的碎石取出时间为(102±23)min,对照组为(121±28)min,两组比较差异无统计学意义(P＞0.05).研究组术后血红蛋白下降率为6.5%(3/46)、术中输血率为17.4%(8/46)、结石清除率为82.6%(38/46)、术后住院时间为(5.6±1.7)d,对照组分别为12.5%(5/40)、22.5%(9/40)、72.5%(29/40)、(7.4±1.8)d,两组比较差异均有统计学意义(P＜0.05).结论 多通道微创经皮肾镜结合钬激光治疗复杂性肾结石手术时间短、术中出血少、结石清除率高,且并发症相对较少,值得临床推广应用.
目的 探討多通道微創經皮腎鏡結閤鈥激光治療複雜性腎結石的臨床療效.方法 將86例複雜性腎結石患者分為兩組,研究組(46例)採用多通道微創經皮腎鏡結閤鈥激光碎石術,對照組(40例)行單通道微創經皮腎鏡結閤體外遲擊波碎石術治療.比較兩組碎石取齣時間、結石清除率、術後血紅蛋白下降率、術中輸血率、術後住院時間及併髮癥髮生率.結果 研究組的碎石取齣時間為(102±23)min,對照組為(121±28)min,兩組比較差異無統計學意義(P＞0.05).研究組術後血紅蛋白下降率為6.5%(3/46)、術中輸血率為17.4%(8/46)、結石清除率為82.6%(38/46)、術後住院時間為(5.6±1.7)d,對照組分彆為12.5%(5/40)、22.5%(9/40)、72.5%(29/40)、(7.4±1.8)d,兩組比較差異均有統計學意義(P＜0.05).結論 多通道微創經皮腎鏡結閤鈥激光治療複雜性腎結石手術時間短、術中齣血少、結石清除率高,且併髮癥相對較少,值得臨床推廣應用.
목적 탐토다통도미창경피신경결합화격광치료복잡성신결석적림상료효.방법 장86례복잡성신결석환자분위량조,연구조(46례)채용다통도미창경피신경결합화격광쇄석술,대조조(40례)행단통도미창경피신경결합체외충격파쇄석술치료.비교량조쇄석취출시간、결석청제솔、술후혈홍단백하강솔、술중수혈솔、술후주원시간급병발증발생솔.결과 연구조적쇄석취출시간위(102±23)min,대조조위(121±28)min,량조비교차이무통계학의의(P＞0.05).연구조술후혈홍단백하강솔위6.5%(3/46)、술중수혈솔위17.4%(8/46)、결석청제솔위82.6%(38/46)、술후주원시간위(5.6±1.7)d,대조조분별위12.5%(5/40)、22.5%(9/40)、72.5%(29/40)、(7.4±1.8)d,량조비교차이균유통계학의의(P＜0.05).결론 다통도미창경피신경결합화격광치료복잡성신결석수술시간단、술중출혈소、결석청제솔고,차병발증상대교소,치득림상추엄응용.
Objective To investigate the effect of multi-channel minimally invasive percutaneous nephrolithotomy in combination with Yag laser in complex renal calculi operation. Methods Eighty six complex renal calculi patients were divided into two groups, study group (46 cases) was treated with multi-channel minimally invasive percutaneous nephrolithotomy combined with Yag laser, control group was treated with single-channel minimally invasive percutaneous nephrolithotomy combinated with extracorporeal shock wave treatment. Comparison of gravel removed time, stone clearance rate,postoperative hemoglobin decreasing rate, blood transfusion rate of surgery,length of stay time and operative complications were done between the two groups, the results were analysed statistically. Result The gravel removed time was (102±23) min in study group, and ( 121 ± 28) min in control group, there was no significant difference between the two groups(P ＞ 0.05 ). In study group, postoperative hemoglobin decreasing rate was 6.5%(3/46), blood transfusion rate of surgery was 17.4% (8/46), stone clearance rate was 82.6%( 38/46 ), length of stay time was (5.6 ± 1.7) d,while those in control group was 12.5%(5/40),22.5%(9/40),72.5%(29/40), (7.4 ± 1.8) d,respectively. There was statistical significance between the two groups(P＜ 0.05 ). Conclusion Multi-channel minimally invasive percutaneous nephrolithotomy in combination with Yag laser in the treatment of complex renal calculi has the shorter operation time, less blood loss,less complications and higher stone clearance rate, and is worthy of promotion.
