超声引导下标准通道经皮肾镜取石术治疗鹿角形肾结石的效果研究

Effect of Ultrasound-guided Standard Channel Percutaneous Nephrolithotomy(PCNL)on Staghorn Calculi

探讨了实施超声引导下标准通道经皮肾镜取石术(PCNL)治疗鹿角形肾结石的临床效果。选取行标准通道下PCNL治疗的鹿角形肾结石患者200例进行回顾性分析,其中100例患者采用超声引导下PCNL手术(超声组)、另外100例采用X线定位后实施PCNL手术(X线组)。超声组患者的穿刺次数、皮肾通道建立时间、住院时间、体外碎石治疗患者占比均低于X线组(P<0.05),超声组的一期结石清除率高于X线组(P<0.05)。术后24 h,超声组的Cor水平低于X线组(P<0.05)。超声引导下,标准通道PCNL治疗鹿角形肾结石较X线定位穿刺准确、操作更简单、损伤小,有利于提高一期结石清除率,在一定程度上有利于减小手术引起的创伤应激反应。

The clinical effect of ultrasound guided standard channel percutaneous nephrolithotomy(PCNL)in the treatment of staghorn calculi were discussed in this study.A retrospective analysis of 200 patients with staghorn calculi who were treated with PCNL under the standard channel,100 patients underwent ultrasound-guided PCNL surgery(ultrasound group)and the other 100 patients PCNL surgery was performed after X-ray positioning(X-ray group).The number of punctures in the ultrasound group,the establishment time of skin and kidney channels,the length of hospitalization,and the proportion of patients treated with extracorporeal lithotripsy were lower than those in the X-ray group(P<0.05).The primary stone clearance rate of the ultrasound group was higher than that of the X-ray group(P<0.05).Twenty-four hours after surgery,the ultrasound group Cor level was lower than the X-ray group(P<0.05).Ultrasound-guided standard channel PCNL treatment of staghorn calculi is more accurate than X-ray positioning and puncture,simpler operation and less damage,which is beneficial to improve the primary stone clearance rate and to a certain extent,it is beneficial to reduce the traumatic stress caused by surgery.