Comparison of the effect of 14 -16F micro -channel percutaneous nephrolithotomy and traditional percutaneous nephrolithotomy in the treatment of upper urinary tract calculi
摘要目的 探讨14-16F 微通道经皮肾镜取石术与传统经皮肾镜手术治疗上尿路结石的效果。方法 选取2017年6月～2019年10月在我院治疗的70 例上尿路结石患者，按照随机数字表法分为研究组（n=35）和对照组（n=35）。研究组采用14-16F 微通道经皮肾镜取石术，对照组采用传统经皮肾镜取石术，比较两组患者的手术时间、术中出血量、术后出血量、术后疼痛视觉模拟评分（VAS）、住院时间、结石清除率、术后输血率以及并发症总发生率。结果 研究组的手术时间长于对照组[（95.63±11.25）min vs. （74.49±9.73）]min，住院时间短于对照组[（6.72±1.25）d vs. （8.85±1.64）d]，差异有统计学意义（P＜0.05）；研究组的术中出血量、术后出血量以及术后VAS 评分均低于对照组[（49.56±8.72）ml vs. （63.05±8.54）ml、（22.74±6.42）ml vs. （28.43±7.15）ml、（2.96±0.77）分vs. （3.72±0.86）分]，差异有统计学意义（P＜0.05）。研究组和对照组的结石清除率（91.4% vs. 94.3%）和术后输血率（2.9% vs. 8.6%）比较，差异均无统计学意义（P＞0.05）。研究组患者的并发症总发生率低于对照组（5.7% vs. 17.1%），差异有统计学意义（χ2=6.433，P=0.011）。结论 14-16F 微通道经皮肾镜取石术对患者创伤较小，术后并发症发生率低，有利于促进患者术后恢复，缩短住院时间。
Abstract：Objective To explore the effect of 14-16F micro-channel percutaneous nephrolithotomy and traditional percutaneous nephrolithotomy in the treatment of upper urinary tract calculi. Methods From June 2017 to October 2019, 70 patients with upper urinary tract calculi were selected. According to the random number table method, they were divided into the study group (n=35) and the control group (n=35). The study group was treated with 14-16F microchannel percutaneous nephrolithotomy, while the control group was treated with traditional percutaneous nephrolithotomy. The operation time, intraoperative bleeding, postoperative bleeding, visual analogue scale (VAS), hospitalization time, stone clearance rate, postoperative blood transfusion rate and total complication rate were compared between the two groups. Results The operation time of the study group was longer than that of the control group ([95.63±11.25]min vs. [74.49±9.73]min), and the hospitalization time of the study group was shorter than that of the control group ([6.72±1.25]d vs. [8.85±1.64]d), the differences were statistically significant (P＜0.05). The amount of intraoperative bleeding,the amount of postoperative bleeding and VAS score of the study group were lower than those of the control group([49.56±8.72]ml vs. [63.05± 8.54]ml, [22.74±6.42]ml vs. [28.437.15]ml, [2.96±0.77]points vs. [3.72±0.86]points),the differences were statistically significant (P＜0.05). There were no significant differences in stone clearance rate(91.4% vs. 94.3%) and blood transfusion rate (2.9% vs. 8.6%) between the two groups (P＞0.05). The total incidence of complications in the study group was lower than that in the control group (5.7%vs.17.1%),the difference was statistically significant (χ2=6.433, P=0.011).Conclusion 14-16F micro-channel percutaneous nephrolithotomy have less trauma and lower incidence of postoperative complications, which is conducive to promoting postoperative recovery and shortening hospital stay.
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