连续筋膜扩张法和球囊扩张法建立经皮肾镜通道在经皮肾镜碎石术中的对比研究

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摘要目的:探讨对比连续筋膜扩张法和球囊扩张法建立经皮肾镜通道在经皮肾镜碎石术中的安全性和有效性。方法:将2012年1月~2014年6月收治的217例肾结石或输尿管上段结石患者,随机分为两组,分别使用连续筋膜扩张法(A组)和球囊扩张法(B组)建立经皮肾镜通道行经皮肾镜碎石术,并比较两组患者结石清除率、通道建立时间及手术时间、术中出血量和住院费用。结果:所有患者手术均成功,A组在缩短通道建立时间(F=515.402,P=0.000)、减少术中出血量(F=39.551,P=0.000)方面有着明显的优势,但住院费用方面较高(F=401.563,P=0.000),在结石清除率、手术时间方面无明显优势。结论:球囊扩张法建立经皮肾镜通道比连续筋膜扩张法更安全,且有效性未发生改变。

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	王博
	高吉
	张茁
	韩宇平
	谷欣权

关键词 ：球囊扩张, 肾造口术, 通道, 肾结石

Abstract：Objective: To compare the safety and feasibility of the establishment of percutaneous nephrolithotomy (PCNL) tracts with sequential fascial dilatation vs. balloon dilatation. Methods: 217 cases of PCNL from January 2012 to June 2014 were randomly divided into two groups: group A (n=125) and group B (n=92). The PCNL tract was established by sequential fascial dilatation and balloon dilatation in group A and group B respectively. The stone clearance rate, tract establishing time, operation time, blood loss and hospital expenses were recorded and compared. Results: All of the 217 cases were operated successfully. Balloon dilatation was significantly superior to sequential fascial dilatation in shortening the tract establishing time (F=515.402, P=0.000) and reducing intraoperative blood loss (F=39.551, P=0.000), but gained a higher hospital expenses. Conclusions: Establishing the PCNL tract with balloon dilatation is more safe than sequential fascial dilatation, and the feasibility unchanged.

Key words： balloon dilatation nephrolithotomy tract renal calculus

收稿日期: 2014-12-02

ZTFLH:

R692.4

通讯作者: 谷欣权 E-mail: hern.wang@aliyun.com

引用本文:

王博,高吉,张茁,韩宇平,谷欣权. 连续筋膜扩张法和球囊扩张法建立经皮肾镜通道在经皮肾镜碎石术中的对比研究[J]. 微创泌尿外科杂志, 2015, 4(4): 235-238.
Wang Bo, Gao Ji, Zhang Zhuo, Han Yuping, Gu Xinquan. Comparative study of establishment of percutaneous nephrolithotomy tract with sequential fascial dilatation vs. balloon dilatation. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2015, 4(4): 235-238.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract799.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2015/V4/I4/235

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