摘要
目的研究细针一步穿刺法在经皮肾镜治疗鹿角型肾结石中的应用效果。方法选择我院2014年1月~2015年12月鹿角型肾结石患者80例进行分组回顾分析。二步法组采用二步法经皮穿刺肾镜取石,一步法组采用细针一步穿刺法经皮肾镜治疗。比较两组患者鹿角型肾结石取净率、置管成功率;手术操作平均时间、术中平均出血量;患者手术后并发症发生率的差异。结果一步法组和二步法组鹿角型肾结石取净率、置管成功率相似,P>0.05;一步法组相较于二步法组手术操作平均时间更短、术中平均出血量更少,P<0.05;一步法组相较于二步法组手术后并发症发生率更低,P<0.05。结论细针一步穿刺法在经皮肾镜治疗鹿角型肾结石中的应用效果确切,可有效缩短操作时间,减少术中出血,减少结肠脾损伤等脏器损伤的发生,安全有效,值得推广。
Objective To study the fine needle puncture in one step by the application of percutaneous nephrolithotomy in treatment of renal staghorn calculi.Methods In our hospital in January 2014-2015 year in December 80 cases of patients with renal staghorn calculi group were retrospectively analyzed. In the two step group, the two-step method was used to remove the stone from the skin, and the one-step group was treated by fine needle aspiration.Comparison of two groups of patients with renal staghorn calculi, the rate of the success rate of catheterization; the average bleeding time, average time of surgery operation; difference of complications after surgery in patients.Results One step and two step group staghorn renal stone clearance rate, the success rate of catheterizationwas similar（P〉0.05）;one step group compared to the two step group operation time shorter average time, average bleeding during operation（P〈0.05）;one step group compared to the two steps of postoperative complications lower rate（P〈0.05）.Conclusion Fine needle puncture in one step by the application of percutaneous nephrolithotomy in treatment of renal staghorn calculi in the exact, can effectively shorten operation time,reduce intraoperative bleeding, safe and effective to reduce injury of colon spleen injury,worthy of promotion.
出处
《现代诊断与治疗》
CAS
2017年第11期1965-1967,共3页
Modern Diagnosis and Treatment
