中华泌尿外科杂志
中華泌尿外科雜誌
중화비뇨외과잡지
CHINESE JOURNAL OF UROLOGY
2014年
3期
209-211
,共3页
经皮肾镜碎石术%球囊扩张%仰卧位
經皮腎鏡碎石術%毬囊擴張%仰臥位
경피신경쇄석술%구낭확장%앙와위
Percutaneous nephrolithotomy%Balloon dilatation%Supine position
目的 探讨球囊扩张器结合腰肋悬空仰卧位在经皮肾镜取石术中的应用和安全性.方法 回顾性分析2012年7月至2013年9月收治的60例肾结石患者的临床资料,按手术方式分为球囊组(采用球囊扩张器扩张)和套管组(采用筋膜扩张套管扩张),每组30例.两组患者的性别、年龄、体质指数、结石位置和大小比较差异无统计学意义(P＜0.05).手术均由同一组医师完成,分别记录两组的一次穿刺扩张成功率、成功建立通道时间、穿刺并发症(肾盏破裂、肾周积液及术后延迟性出血等)、清除结石所需时间和结石清除率等.结果 球囊组和套管组一次穿刺成功率[100％(30/30)和90％(27/30)]、成功建立通道时间[(6.1±2.3)min和(13.3±3.6) min]、穿刺并发症发生率[3％(1/30)和13％(4/30)]和清除结石所需时间[(11.7±2.0)min和(21.5±3.1) min]比较差异均有统计学意义(P＜0.05);结石清除率[87％ (26/30)和83％ (25/30)]比较差异无统计学意义(P＞0.05).结论 球囊扩张器结合腰肋悬空仰卧位经皮肾镜取石术操作简单,能更有把握、更快地建立好碎石通道,缩短碎石时间,降低手术并发症的发生率.
目的 探討毬囊擴張器結閤腰肋懸空仰臥位在經皮腎鏡取石術中的應用和安全性.方法 迴顧性分析2012年7月至2013年9月收治的60例腎結石患者的臨床資料,按手術方式分為毬囊組(採用毬囊擴張器擴張)和套管組(採用觔膜擴張套管擴張),每組30例.兩組患者的性彆、年齡、體質指數、結石位置和大小比較差異無統計學意義(P＜0.05).手術均由同一組醫師完成,分彆記錄兩組的一次穿刺擴張成功率、成功建立通道時間、穿刺併髮癥(腎盞破裂、腎週積液及術後延遲性齣血等)、清除結石所需時間和結石清除率等.結果 毬囊組和套管組一次穿刺成功率[100％(30/30)和90％(27/30)]、成功建立通道時間[(6.1±2.3)min和(13.3±3.6) min]、穿刺併髮癥髮生率[3％(1/30)和13％(4/30)]和清除結石所需時間[(11.7±2.0)min和(21.5±3.1) min]比較差異均有統計學意義(P＜0.05);結石清除率[87％ (26/30)和83％ (25/30)]比較差異無統計學意義(P＞0.05).結論 毬囊擴張器結閤腰肋懸空仰臥位經皮腎鏡取石術操作簡單,能更有把握、更快地建立好碎石通道,縮短碎石時間,降低手術併髮癥的髮生率.
목적 탐토구낭확장기결합요륵현공앙와위재경피신경취석술중적응용화안전성.방법 회고성분석2012년7월지2013년9월수치적60례신결석환자적림상자료,안수술방식분위구낭조(채용구낭확장기확장)화투관조(채용근막확장투관확장),매조30례.량조환자적성별、년령、체질지수、결석위치화대소비교차이무통계학의의(P＜0.05).수술균유동일조의사완성,분별기록량조적일차천자확장성공솔、성공건립통도시간、천자병발증(신잔파렬、신주적액급술후연지성출혈등)、청제결석소수시간화결석청제솔등.결과 구낭조화투관조일차천자성공솔[100％(30/30)화90％(27/30)]、성공건립통도시간[(6.1±2.3)min화(13.3±3.6) min]、천자병발증발생솔[3％(1/30)화13％(4/30)]화청제결석소수시간[(11.7±2.0)min화(21.5±3.1) min]비교차이균유통계학의의(P＜0.05);결석청제솔[87％ (26/30)화83％ (25/30)]비교차이무통계학의의(P＞0.05).결론 구낭확장기결합요륵현공앙와위경피신경취석술조작간단,능경유파악、경쾌지건립호쇄석통도,축단쇄석시간,강저수술병발증적발생솔.
Objective To access the practicality and safety of a new type Balloon dilatation combined with flank supine position in percutaneous nephrolithotomy.Methods Clinical data of 60 kidney stones patients were collected and retrospectively analyzed.This group of patients had been admitted and selected according to the inclusion criteria in our institute from July.2012 to Sep.2013.There was no obvious difference in sex,age,body mass index (BMI),stone location and size.According to the surgery approaches,this group of patients was divided into ballon group (dilated by balloon dilatation) and Amplatz group (dilated by Amplatz fascial dilation) and in each group there were 30 cases.All these patients received the surgery by the same group of surgeons.We collected the data of one-time success puncture rate,success puncture time,puncture complications (kidney calices fracture,perinephric fluid collection and postoperative delayed hemorrhages etc.),removing stones time and stone free rate.Results Compared with Balloon group,Amplatz group had a significant difference (P＜0.05) in one-time success puncture rate [100％ (30/30) vs 90％ (27/30)],success puncture time [(6.1±2.3)min vs (13.3±3.6)min],puncture complications [3％(1/30) vs 13％(4/30)] and removing stones time [(11.7±2.0)min vs (21.5±3.1)min]; but no significant difference (P＞0.05) in stone free rate [87％ (26/30) vs 83％ (25/30)].Conclusions Balloon dilatation combined with flank supine position in percutaneous nephrolithotomy is easy for surgery.It can establish the surgery access more accurately and faster,decreases removing stones time and reduces operative complications.
