中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
14期
14-16
,共3页
肾结石%肾造口术,经皮%碎石术%体质指数
腎結石%腎造口術,經皮%碎石術%體質指數
신결석%신조구술,경피%쇄석술%체질지수
Kidney calculi%Nephrostomy,percutaneous%Lithotripsy%Body mass index
目的 探讨不同体质指数(BMI)患者经皮肾镜碎石术(PCNL)治疗效果是否存在不同,评价BMI对PCNL的影响.方法 84例肾结石行PCNL治疗的患者,按照BMI不同分为BMI＜18.5 kg/m2组(低BMI组)16例、18.5 kg/m2≤BMI＜ 24.0 kg/m2组(正常BMI组)36例、BMI≥24.0 kg/m2组(高BMI组)32例,评价各组疗效.结果 三组手术时间、多通道碎石率、结石清除率、住院时间、输血率比较差异无统计学意义(P＞0.05),低BMI组并发症发生率为31.25％(5/16),明显高于正常BMI组5.56％(2/36)及高BMI组9.38％(3/32),差异有统计学意义(P＜0.05).结论 BMI对PCNL存在一定影响,低BMI会影响患者对手术的耐受性,引起并发症发生增多,高BMI会增加手术难度.
目的 探討不同體質指數(BMI)患者經皮腎鏡碎石術(PCNL)治療效果是否存在不同,評價BMI對PCNL的影響.方法 84例腎結石行PCNL治療的患者,按照BMI不同分為BMI＜18.5 kg/m2組(低BMI組)16例、18.5 kg/m2≤BMI＜ 24.0 kg/m2組(正常BMI組)36例、BMI≥24.0 kg/m2組(高BMI組)32例,評價各組療效.結果 三組手術時間、多通道碎石率、結石清除率、住院時間、輸血率比較差異無統計學意義(P＞0.05),低BMI組併髮癥髮生率為31.25％(5/16),明顯高于正常BMI組5.56％(2/36)及高BMI組9.38％(3/32),差異有統計學意義(P＜0.05).結論 BMI對PCNL存在一定影響,低BMI會影響患者對手術的耐受性,引起併髮癥髮生增多,高BMI會增加手術難度.
목적 탐토불동체질지수(BMI)환자경피신경쇄석술(PCNL)치료효과시부존재불동,평개BMI대PCNL적영향.방법 84례신결석행PCNL치료적환자,안조BMI불동분위BMI＜18.5 kg/m2조(저BMI조)16례、18.5 kg/m2≤BMI＜ 24.0 kg/m2조(정상BMI조)36례、BMI≥24.0 kg/m2조(고BMI조)32례,평개각조료효.결과 삼조수술시간、다통도쇄석솔、결석청제솔、주원시간、수혈솔비교차이무통계학의의(P＞0.05),저BMI조병발증발생솔위31.25％(5/16),명현고우정상BMI조5.56％(2/36)급고BMI조9.38％(3/32),차이유통계학의의(P＜0.05).결론 BMI대PCNL존재일정영향,저BMI회영향환자대수술적내수성,인기병발증발생증다,고BMI회증가수술난도.
Objective To investigate the effect of percutaneous nephrostolithotomy (PCNL) on patients with different body mass index.Methods The clinical data of 84 patients with kidney stones who were treated with PCNL surgical treatment were enrolled in this study,and they were divided into different groups according to body mass index (BMI),including 16 cases of BMI ＜ 18.5 kg/m2(low BMI group),36 cases of 18.5 kg/m2≤BMI ＜24.0 kg/m2 (normal BMI group),32 cases of BMI≥24.0 kg/m2 (high BMI group),and the curative effect was evaluated.Results Three groups' operation time,multichannel gravel rate,stones clearance,length of hospital stay,blood transfusion rate had no significant difference (P ＞0.05),the incidence of complications in low BMI group [31.25％ (5/16)] was obviously higher than that in normal BMI group [5.56％(2/36)] and high BMI group [9.38％(3/32)],there was significant difference (P ＜ 0.05).Conclusion BMI of PCNL surgery influences on certain effect,low BMI will affect patients with surgery tolerance,cause complications increase,obesity wifl increase the difficulty of the operation.
