经皮肾镜碎石术治疗复杂性肾结石的效果

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (31 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the effect of percutaneous nephrolithotripsy (PCNL) in the treatment of complex renal calculi. Methods The clinical data of 64 patients with complex renal calculi who were admitted to Lianjiang People′s Hospital in Guangdong Province from October 2017 to October 2019 were retrospectively analyzed and divided into the control group and the observation group according to different treatment methods, with 32 cases in each group. The control group was treated with open surgery and the observation group was treated with PCNL. The clinical indicators(operative time, intraoperative blood loss, renal fistula catheter retention time), stone clearance rate, stone recurrence rate and serum creatinine (SCr) levels in the two groups were compared. Results The operative time and renal fistula catheter retention time of the observation group were shorter than those of the control group, the intraoperative blood loss was less than that of the control group, and the differences were statistically significant (P<0.05). The stone clearance rate of the observation group was higher than that of the control group, the stone recurrence rate was lower than that of the control group, and the differences were statistically significant (P<0.05). After treatment, the SCr levels in both groups were lower than those before treatment, the SCr level in the observation group was lower than that in the control group, and the differences were statistically significant (P<0.05). Conclusion The application of PCNL in the treatment of patients with complex renal calculi can not only shorten the operation time and reduce intraoperative blood loss, but also improve the stone clearance rate, effectively improve renal function and reduce the recurrence of stones.

Key words： Percutaneous nephrolithotripsy Complex kidney stones Stone clearance rate

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LI Hua-qiang
	CHEN Shao-na
	KANG Yong-sheng
	TANG Yun-feng
	SONG Dong-xia

Cite this article:

LI Hua-qiang,CHEN Shao-na,KANG Yong-sheng, et al. Effect of percutaneous nephrolithotripsy in the treatment of complex renal calculi[J]. 中国当代医药, 2021, 28(3): 112-114.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I3/112

[1]	王大明，于德新，谢栋栋，等.改良俯卧分腿位双镜联合处理复杂性肾结石合并同侧输尿管结石的临床研究[J].中华泌尿外科杂志，2019，40（9）：685-689.
[2]	汪彬，许景东，项华.经皮肾镜联合输尿管软镜治疗对复杂性肾结石BMG、BUA 的影响及临床疗效分析[J].国际泌尿系统杂志，2019，39（1）：60-63.
[3]	杨丽芬.经皮肾镜碎石术治疗复杂性肾结石的临床疗效及对患者肾功能的影响[J].华夏医学，2019，32（1）：15-18.
[4]	陈上保，李伟民，吴树辉.硕通组合镜与经皮肾镜碎石取石术治疗复杂性肾结石对比研究[J].右江医学，2019，47（5）：352-355.
[5]	焦志敏，王诚悦，周洋，等.3 cm 以内肾结石微创治疗方案的选择探索[J].中国内镜杂志，2019，25（9）：25-29.
[6]	陈志健，胡春勇.复杂性肾结石患者采用B 超引导下侧卧位MPCNL 治疗的效果及肾功能、神经体液因子、性功能的评估[J].解放军预防医学杂志，2018，36（5）：602-604，619.
[7]	王天祺，杨颖达.他克莫司与来氟米特治疗特发性膜性肾病的效果及安全性对比[J].中国当代医药，2018，25（2）：138-140.
[8]	苏寒锦，姚狮章，王鹏程，等.软性输尿管镜（FURS）与经皮肾镜（PCNL）术式治疗肾结石的效果观察[J].白求恩医学杂志，2019，17（1）：10-12.
[9]	李晶，邓骞，刘全海，等.经皮肾镜碎石术联合顺行和逆行输尿管软镜治疗复杂性肾结石的临床研究[J].海南医学，2019，30（11）：1388-1390.
[10]	冯权尧，徐勋，张湛英，等.B 超联合瞬时X 线定位下标准通道经皮肾镜碎石术治疗无积水肾结石的临床效果[J].中国当代医药，2019，26（16）：108-111.
[11]	韦晓城.PCNL 和开放手术治疗复杂性肾结石的效果对比及对患者肾功能的影响[J].中外医学研究，2019，17（10）：128-129.
[12]	刘创明，廖伟强，陈志权.超声引导下多通道经皮肾镜取石术治疗复杂性结石的疗效观察[J].国际泌尿系统杂志，2018，38（4）：565-567.
[13]	刘津念，郑剑，殷永健，等.标准通道经皮肾镜取石术联合输尿管软镜钬激光碎石术治疗上尿路结石的疗效观察[J].实用医院临床杂志，2019，16（1）：164-167.
[14]	张遂兵，潘卫兵，金岩.负压吸引在上尿路结石并脓肾Ⅱ期经皮肾镜取石术中的效果评估[J].中国实用医药，2019，14（33）：10-12.
[15]	李建民，赵红，饶品浪，等.后腹腔镜技术联合中药治疗输尿管上段结石的研究进展[J].中国当代医药，2018，25（20）：25-27.