CAJ | 학술논문

目的：：探讨 B 超和 X 线定位经皮肾镜取石治疗上尿路结石的临床疗效比较。方法：回顾性分析2010年2月~2013年12月收治的300例上尿路结石患者的临床资料，根据定位方式分为 X 线定位组(164例)和B 超定位组(146例)，对两组患者围手术期临床数据进行比较。结果：X 线定位组的穿刺时间为(10.3±4.2)mi n 、手术时间为(103.5±27.5)mi n 、穿刺中出血量为(45.8±9.8)ml 、手术出血量为(96.7±34.8)ml 、穿刺针数为(1.72±0.84)次，均显著的低于 B 超定位组(P ＜0.05)；两组患者的住院时间差异无统计学意义(P ＞0.05)。术后 X 线定位组的感染率(8.54％)、术后继发出血(3.66％)、术后脏器损伤(0.00％)与 B 超定位组差异无统计学意义(P ＞0.05)；但 X 线定位组的结石残余率7.93％显著低于 B 超定位组的15.07％。结论：X 线定位经皮肾镜取石治疗上尿路结石较 B 超定位具有时间短、出血量少、术后结石残余率低等优势，值得临床推广应用。
목적：：탐토 B 초화 X 선정위경피신경취석치료상뇨로결석적림상료효비교。방법：회고성분석2010년2월~2013년12월수치적300례상뇨로결석환자적림상자료，근거정위방식분위 X 선정위조(164례)화B 초정위조(146례)，대량조환자위수술기림상수거진행비교。결과：X 선정위조적천자시간위(10.3±4.2)mi n 、수술시간위(103.5±27.5)mi n 、천자중출혈량위(45.8±9.8)ml 、수술출혈량위(96.7±34.8)ml 、천자침수위(1.72±0.84)차，균현저적저우 B 초정위조(P ＜0.05)；량조환자적주원시간차이무통계학의의(P ＞0.05)。술후 X 선정위조적감염솔(8.54％)、술후계발출혈(3.66％)、술후장기손상(0.00％)여 B 초정위조차이무통계학의의(P ＞0.05)；단 X 선정위조적결석잔여솔7.93％현저저우 B 초정위조적15.07％。결론：X 선정위경피신경취석치료상뇨로결석교 B 초정위구유시간단、출혈량소、술후결석잔여솔저등우세，치득림상추엄응용。
Objective :To i nvesti gate the cli nical efficacy of percutaneous nephrolithoto my for the treat ment of upper uri nary tract calculi by the B ultrasound and X-ray l ocalizati on .Methods :The cli nical data of 300 cases of up-per uri nary calculi i n Depart ment of Urol ogy of our hospital fro m 201 0 February to 201 3 Dece mber were retrospec-ti vel y anal yzed .The patients were di vi ded i nto X-ray positi oni ng group (1 64 cases )and B ultrasound positi oni ng group (1 46 cases )accordi ng to the positi oni ng modes .So me peri operati ve data were co mpared .Results :The punc-ture ti me (1 0.3 ±4.2 mi n )and operati on ti me (1 03.5 ±27.5 mi n )were shortened ,the a mount of he morrhage i n puncture (45.8 ±9.8 mL ),i ntraoperati ve bl ood l oss (96.7 ±34.8 mL )and puncture ti mes (1.72 ±0.84 )were re-duced i n X-ray positi oni ng group as co mpared with B ultrasound positi oni ng group (P <0.05 for all ).There was no si gnificant difference i n the hospital stay bet ween t wo groups (P >0.05 ).The postoperati ve i nfecti on rate (8.54 %), postoperati ve bleedi ng rate (3.66 %),and organ i nj ury after operati on (0 %)i n X-ray positi oni ng group were not si gnificantl y different fro m those i n B ultrasound positi oni ng group (P >0.05 ).The rate of resi dual stones i n the X-ray positi oni ng group (7.93 %)was si gnificantl y l o wer than i n the B ultrasound positi oni ng group (1 5.07 %).Con-clusions :The X-ray gui ded percutaneous nephrolithoto my for treat ment of upper uri nary tract calculi has shorter ti me ,less bleedi ng and l o wer postoperati ve resi dual stones rate ,etc ,which is worthy of cli nical applicati on .