摘要
目的:探讨微通道经皮肾镜碎石取石术应用于肾结石治疗的效果。方法:选择2022年9月~2023年7月收治的72例肾结石患者为研究对象,依据入院先后顺序排号,将单号患者纳入对照组(n=36),双号患者纳入观察组(n=36)。治疗时对照组患者接受标准通道经皮肾镜碎石取石术,观察组患者接受微通道经皮肾镜碎石取石术。观察并记录两组患者的手术指征(手术时长、手术出血量以及总住院时长),对比两组患者的肾功能指征(血肌酐、血红蛋白)、结石清除率及疼痛程度(VAS评分)。结果:观察组患者的手术时长与总住院时长均比对照组短,且观察组患者的手术出血量少于对照组(P<0.05);手术治疗后1周复查血液生化指标,两组患者血肌酐、血红蛋白水平明显下降,观察组患者治疗后的血肌酐与血红蛋白水平明显低于对照组(P<0.05);对照组共计27例患者结石清除成功,其结石清除率为75.00%,观察组共计34例患者结石清除成功,其结石清除率高达97.22%,治疗后观察组患者的结石清除率明显高于对照组(P<0.05);观察组治疗后VAS评分低于对照组,差异有统计学意义(P<0.05)。结论:肾结石患者治疗时选择微通道经皮肾镜取石术不仅能有效缩短手术及住院时长,减少手术出血量,减轻疼痛感,还有助于降低血肌酐与血红蛋白水平,提高结石清除率。
Objective:To explore the effect of microchannel percutaneous nephrolithotomy in the treatment of kidney stones.Methods:A total of 72 patients with kidney stones admitted between September 2022 and July 2023 were selected as the study sample.According to the order of admission,single number patients were included in the control group(n=36),and double number patients were included in the experimental group(n=36).During treatment,the control group patients underwent standard channel percutaneous nephrolithotomy,while the experimental group patients underwent microchannel percutaneous nephrolithotomy.Observe and record the surgical indications(surgical duration,surgical bleeding volume,and total hospital stay)of two groups of patients,and compare the renal function indicators(blood creatinine,hemoglobin),stone clearance rate,and pain level(VAS score)of the two groups of patients.Results:The surgical duration and total hospital stay of patients in the experimental group were shorter than those in the control group,and the amount of surgical bleeding in the experimental group was less than that in the control group(P<0.05);After one week of surgical treatment,blood biochemistry was rechecked,and the levels of creatinine and hemoglobin in both groups of patients significantly decreased.The levels of creatinine and hemoglobin in the experimental group were significantly lower than those in the control group after treatment(P<0.05);A total of 27 patients in the control group were successfully cleared of stones,with a stone clearance rate of 75.00%.In the observation group,a total of 34 patients were successfully cleared of stones,with a stone clearance rate of 97.22%.After treatment,the stone clearance rate of the experimental group was significantly higher than that of the control group(P<0.05);The VAS score of the observation group was lower than that of the control group after treatment,and the difference was statistically significant(P<0.05).Conclusion:Choosing microchannel percutaneous nephrolithotomy for the treatment of kidney stone patients can not only effectively shorten the duration of surgery and hospitalization,reduce surgical bleeding,alleviate pain,but also help reduce blood creatinine and hemoglobin levels,improve stone clearance rate.
作者
晁婷婷
雷敏
刘焜
CHAO Ting-ting;LEI Min;LIU Kun(Sichuan University West China Xiamen Hospital,Fujian Xiamen 361000)
出处
《中国医疗器械信息》
2025年第9期119-121,共3页
China Medical Device Information
关键词
微通道经皮肾镜取石术
肾结石
传统经皮肾镜术
microchannel percutaneous nephrolithotomy
renal calculus
traditional percutaneous nephrolithotomy
