可视穿刺经皮肾镜碎石术治疗肾结石的效果及对结石清除率术后并发症发生率的影响

doi:10.3969/j.issn.1006-6233.2024.03.023

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Abstract Objective: To explore the effect of visual puncture percutaneous nephrolithotomy on the treatment of renal calculi and its impact on stone clearance rate and postoperative complications rates.Methods: Clinical data of patients with renal calculi who underwent visual puncture percutaneous nephrolithotomy in our hospital from January 2020 to January 2023 were retrospectively analyzed, and 73 cases were included in the observation group. Clinical data of patients who underwent minimally invasive percutaneous nephrolithotomy for renal calculi during the same period were retrospectively analyzed, and 74 cases were included in the control group. The clinical indicators (operation time, number of access tracts, intraoperative blood loss), stone clearance status (average stone fragmentation time, stone clearance rates in stage I and stage Ⅱ), postoperative recovery status (VAS score, length of hospital stay, decrease in hemoglobin), and occurrence of postoperative complications within 1 week were compared between the two groups. Results: The operation time and average stone fragmentation time in the observation group were longer than those in the control group (P<0.05), and the number of access tracts and stone clearance rate in stage Ⅱ were higher than those in the control group (P<0.05). The length of hospital stay was shorter, and VAS score and decrease in hemoglobin were lower in the observation group than in the control group (P<0.05). There was no statistically significant difference in intraoperative blood loss and the incidence of postoperative complications between the two groups (P>0.05). Conclusion: Visual puncture percutaneous nephrolithotomy is safe and effective in the treatment of patients with renal calculi, and it can effectively remove the stones and reduce the hospital stay for patients.

Key words： Visual puncture percutaneous nephrolithotomy Renal calculi Stone clearance rate Complications Hemoglobin decline

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2024.03.023 OR http://www.hbyxzzs.cn/EN/Y2024/V30/I3/480

[1] 安立哲,熊六林,陈亮,等.腹腔镜肾盂成形术联合肾盂镜超声碎石取石术治疗肾盂输尿管连接部梗阻合并肾结石[J].北京大学学报(医学版),2022,54(4):746-750.
[2] Castellani Daniele,Traxer Olivier,Ragoori Deepak,et al.Improving outcomes of same-sitting bilateral flexible ureteroscopy for renal stones in real-world practice-lessons learnt from global multicenter experience of 1250 patients[J].European Urology Open Science,2023,52(6):51-59.
[3] 梁普照,田振涛,吴钰仪.美国2021版《妊娠期肾结石诊治-单中心多学科指南》解读-提高临床诊断能力,加强多学科协作管理[J].中国全科医学,2023,26(5):519-524.
[4] 袁宏毅,肖宁.mPCNL与RIRS对>2cm肾结石患者一期净石率、肾功能、肾血流动力学及氧化应激反应的影响[J].临床误诊误治,2023,36(3):77-82.
[5] Remer Thomas,Kalotai Nicole,Amini Anna M,et al.Protein intake and risk of urolithiasis and kidney diseases:an umbrella review of systematic reviews for the evidence-based guideline of the german nutrition society[J].European journal of nutrition,2023,12(4):232-236.
[6] Dutta Rahul,Mithal Prabhakar,Klein Ilan,et al.Outcomes and costs following mini-percutaneous nephrolithotomy or flexible ureteroscopic lithotripsy for 1-2-cm renal stones:data from a prospective,randomized clinical trial[J].The Journal of urology,2023,209(6):1151-1158.
[7] 周密,俞蔚文,何翔,等.可视穿刺联合球囊扩张PCNL治疗无积水肾结石的应用体会[J].临床泌尿外科杂志,2018,33(2):101-103.
[8] 王大明,丁德茂,谢栋栋,等.超声联合内镜与联合X线引导经皮肾镜取石术治疗复杂性肾结石有效性的对比研究[J].中华泌尿外科杂志,2023,44(3):173-179.
[9] 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.