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微创泌尿外科杂志  2016, Vol. 5 Issue (2): 84-86    
  论著 本期目录 | 过刊浏览 | 高级检索 |
球囊扩张法经皮肾镜治疗复杂肾结石的临床研究
侯毅1,陈晓亮1,孔祥波1,王志新1
1.吉林大学中日联谊医院泌尿外科 130033 长春
Clinical study on the treatment of complex renal calculi by percutaneous nephroscope with percutaneous balloon dilation
Hou,Yi1,Chen,Xiaoliang1,Kong,Xiangbo1,Wang,Zhixin1
1.Department of Urology, China Japan Union Hospital, Jilin University, Changchun 130033, China
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摘要 目的:探讨球囊扩张法经皮肾镜治疗复杂肾结石的临床价值及安全性和有效性。方法:回顾性分析2014年1月~2015年4月收诊的89例复杂性肾结石患者的临床资料,按通道扩张方式分为球囊组(采用球囊扩张至F24,43例)和筋膜组(采用筋膜扩张器至F24,46例),两组患者的性别、年龄、结石位置、大小比较差异无统计学意义(P>0.05) 。分别记录两组的通道建立时间、一次性通道建立成功率、穿刺并发症、结石清除时间、结石清除率、术后出血及发热例数等。结果:球囊组及筋膜组建立通道时间[(6.1±1.6)、(9.6±1.9)min]、一次性通道建立成功率[100%(43/43)、89%(41/46)]、结石清除时间[(38.2±3.8)、(51.8±2.4)min]、一期结石清除率[93%(40/43)、76%(35/46)]、术后血红蛋白下降值[(16.1±2.9)、(27.9±1.4)g/L]及术后发热率[14%(6/43)、35%(16/46)],比较均差异有统计学意义(P<0.05)。89例患者均未出现胸膜、腹膜损伤,未伤及临近脏器。结论:应用球囊扩张法建立F24经皮肾通道快速、安全、成功率高、出血少,应用于复杂肾结石经皮肾镜取石术结石清除率高、并发症少。
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关键词 球囊扩张法复杂肾结石经皮肾镜    
Abstract:To investigate the clinical value, safety and efficacy of percutaneous balloon dilation in the treatment of complex renal calculi. Methods: A retrospective analysis was performed on the clinical data of 89 cases of complicated renal calculi admitted in our hospital from January 2014 to April 2015. According to the channel expansion modes, the patients were divided into balloon group (using balloon dilatation to F24, n=43) and fascia dilator group (using fascia dilator to F24, n=46), Ther were no statistically significant difference in gender, age, stone location and size between two groups (P>0.05). The time of channel establishment, the success rate of one-time channel establishment, the complications of puncture, stone removal rate, stone clearance rate, postoperative bleeding and fever were recorded. Results: In balloon group and fascia dilator group, the time of channel establishment [(6.1±1.6) and (9.6±1.9) min], one time success rate of channel establishment was 100% and 89%, stone clearance time was (38.2±3.8) and (51.8±2.4) min, stone clearance rate was 93% and 76%, postoperative decreased value of hemoglobin was (16.1±2.9) and (27.9±1.4) g/L and postoperative fever rate was 14% and 35%, with the differences being statistically significant (P<0.05 for all). All patients had no pleural and peritoneal injury, and the adjacent organs were not injured. Conclusions: The application of balloon dilatation method in the establishment of F24 percutaneous renal passage is fast and safe, and has high success rate and less bleeding. The stone removal rate is higher and complications are less using balloon dilatation method in complex renal calculi with percutaneous nephroscope set.
Key wordsballoon dilatation    complex renal calculi    percutaneous nephroscope set
收稿日期: 2015-12-30     
ZTFLH:  R692.4  
通讯作者: 王志新,hern.wang@aliyun.com   
引用本文:   
侯毅,陈晓亮,孔祥波,王志新. 球囊扩张法经皮肾镜治疗复杂肾结石的临床研究[J]. 微创泌尿外科杂志, 2016, 5(2): 84-86.
Hou,Yi,Chen,Xiaoliang,Kong,Xiangbo,Wang,Zhixin. Clinical study on the treatment of complex renal calculi by percutaneous nephroscope with percutaneous balloon dilation. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 5(2): 84-86.
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