江西医药
江西醫藥
강서의약
JIANGXI MEDICAL JOURNAL
2013年
11期
961-962
,共2页
巫琪%顾六英%李炳花%邹安荣%章其鑫%刘峰
巫琪%顧六英%李炳花%鄒安榮%章其鑫%劉峰
무기%고륙영%리병화%추안영%장기흠%류봉
经皮肾镜碎石术%双外鞘%肾%输尿管结石
經皮腎鏡碎石術%雙外鞘%腎%輸尿管結石
경피신경쇄석술%쌍외초%신%수뇨관결석
PCNL%Double sheath%Kidney stones or upper ureteral calculi
目的：评价运用塑料外鞘联合金属鞘在经皮肾镜碎石术中的应用效果。方法将120例行MPCNL的肾结石及输尿管上段结石患者，随机均分为观察组和对照组，对照组采用目前国内现行的单外鞘行手术操作，观察组运用塑料外鞘建立操作通道，再运用金属外鞘行手术操作，比较两组病人在平均手术时间、出血量、清石率及通道丢失率的差异。结果所有病例均成功建立操作通道，对照组和试验组的平均手术时间分别为（100±30）min、（95±28）min，出血量分别为（150±50）ml、（148±46）ml，术后一期清石率分别为71%（43/60）、75%（45/60），两组上述各项指标差异均无统计学差异，而通道丢失率对照组达6%（4/60），观察组无通道丢失，两组差异有统计学意义。结论经皮肾镜碎石术中运用塑料外鞘联合金属外鞘行手术操作是安全有效的，可以有效避免了操作通道丢失的发生。
目的：評價運用塑料外鞘聯閤金屬鞘在經皮腎鏡碎石術中的應用效果。方法將120例行MPCNL的腎結石及輸尿管上段結石患者，隨機均分為觀察組和對照組，對照組採用目前國內現行的單外鞘行手術操作，觀察組運用塑料外鞘建立操作通道，再運用金屬外鞘行手術操作，比較兩組病人在平均手術時間、齣血量、清石率及通道丟失率的差異。結果所有病例均成功建立操作通道，對照組和試驗組的平均手術時間分彆為（100±30）min、（95±28）min，齣血量分彆為（150±50）ml、（148±46）ml，術後一期清石率分彆為71%（43/60）、75%（45/60），兩組上述各項指標差異均無統計學差異，而通道丟失率對照組達6%（4/60），觀察組無通道丟失，兩組差異有統計學意義。結論經皮腎鏡碎石術中運用塑料外鞘聯閤金屬外鞘行手術操作是安全有效的，可以有效避免瞭操作通道丟失的髮生。
목적：평개운용소료외초연합금속초재경피신경쇄석술중적응용효과。방법장120례행MPCNL적신결석급수뇨관상단결석환자，수궤균분위관찰조화대조조，대조조채용목전국내현행적단외초행수술조작，관찰조운용소료외초건립조작통도，재운용금속외초행수술조작，비교량조병인재평균수술시간、출혈량、청석솔급통도주실솔적차이。결과소유병례균성공건립조작통도，대조조화시험조적평균수술시간분별위（100±30）min、（95±28）min，출혈량분별위（150±50）ml、（148±46）ml，술후일기청석솔분별위71%（43/60）、75%（45/60），량조상술각항지표차이균무통계학차이，이통도주실솔대조조체6%（4/60），관찰조무통도주실，량조차이유통계학의의。결론경피신경쇄석술중운용소료외초연합금속외초행수술조작시안전유효적，가이유효피면료조작통도주실적발생。
Objective To evaluate the application effect of combined use of plastic sheath and metal sheath in percutaneous nephrolithotomy. Methods 120 patients of kidney stones or upper ureteral calculi underwent PCNL,They were randomly divided into the observation group and the control group,each 60 cases. The control group only used a single sheath during operation,and the observation group established percutaneous renal access with plastic sheath first ,and then used a metal sheath for subsequent operation. To compare the differences of mean operation time,blood loss,stone clearance rates and channel loss rates between the two groups. Results All patients were successfully established operating channel,the mean operation time of observation group and control group was (100±30)min, (95±28)min,blood loss was (150±50)ml、(148±46)ml,stone clearance rate was 71%(43/60), 75%(45/60),There was no statistically significant difference in these indicators. The observation group without channel loss,while the channel loss rate of control group was 6%(4/60),there was statistically significant difference between the two groups. Conclu-sion Combined use of plastic sheath and metal sheath in percutaneous nephrolithotomy is a safe and feasible procedure. It can ef-fectively avoid the occurrence of channel loss.
