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比较

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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.

Key words： Upper urinary tract calculi Percutaneous nephrolithotomy 14-16F micro-channel Clinical effect

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	Articles by authors
	XIE Wen-feng
	PAN Guo-quan
	HUANG Li-mei
	TANG Hong-xing
	LIANG Ming-jian
	HUANG Ying-ying
	XIANG Yan-yan

Cite this article:

XIE Wen-feng,PAN Guo-quan,HUANG Li-mei, et al. Comparison of the effect of 14 -16F micro -channel percutaneous nephrolithotomy and traditional percutaneous nephrolithotomy in the treatment of upper urinary tract calculi[J]. 中国当代医药, 2020, 27(16): 95-97转105.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I16/95

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