选择性肾周引流管代替肾造瘘管在微创经皮肾镜术后的应用研究

Application study of selective perirenal drainage tube instead of nephrostomy tube after minimally invasive percutaneous nephrolithotomy

目的探讨选择性肾周引流管代替肾造瘘管在微创经皮肾镜术后的应用效果。方法选取江西省石城县中医院2012年1~12月收治的22例行经皮肾镜术的患者作为研究对象,根据引流方式分为对照组和观察组,每组11例。对照组采用肾造瘘管,观察组采用肾周引流管。比较两组患者的并发症发生率、继发出血量、住院时间和医疗费用。结果观察组的并发症总发生率为18.2%,显著低于对照组的45.5%,差异有统计学意义(P<0.05)。观察组的继发出血量明显少于对照组、住院时间明显短于对照组、医疗费用明显低于对照组,差异均有统计学意义(P<0.05)。结论与肾造瘘管比较,选择性肾周引流管的安全性高,临床效果好,可减少继发出血量、缩短住院时间和降低医疗费用。

Objective To explore the application effect of selective perirenal drainage tube instead of nephrostomy tube after minimally invasive percutaneous nephrolithotomy. Methods A total of 22 patients with percutaneous nephrolithotomy treated in Shicheng Traditional Chinese Medicine Hospital from January to December 2012 were selected as study objects, and they were divided into the control group and observation group according to drainage ways, and there were11 cases in each group. The control group was treated with nephrostomy tube, while the observation group was treated with perirenal drainage tube. The incidence of complications, secondary bleeding volume, hospital stay and medical expenses were compared in patients between the two groups. Results The total incidence of complications in the observation group was 18.2%, which was significantly lower than that of the control group（45.5%）, and the difference was statistically significant（P〈0.05）. The secondary bleeding volume in the observation group was significantly fewer those that of the control group, the hospital stay was significantly shorter than the control group and the medical expenses were significantly lower than those of the control group, and the differences were statistically significant（P〈0.05）.Conclusion Compared with the nephrostomy tube, selective perinephric drainage tube has higher safety and better clinical effect, and it can reduce secondary blood flow, shorten the hospital stay and reduce medical expenses.