摘要
目的 观察并分析差异化体位经皮肾镜碎石术对肾结石患者的治疗效果。方法 纳入信阳市中心医院泌尿外科2021年5月至2023年7月收治的90例肾结石患者,入院后均接受经皮肾镜碎石术,根据体位差异分组,对照组(45例)取俯卧位,观察组(45例)取半截石斜侧卧位。对比两组手术效果、肾功能、手术指标、并发症发生率。结果 (1)观察组结石清除率(97.78%)较对照组(77.78%)高(χ^(2)=8.389,P=0.004)。(2)治疗后观察组血肌酐、尿素氮水平低于对照组,血白蛋白水平高于对照组(P<0.05)。(3)观察组手术总时长短于对照组,术中出血总量少于对照组(P<0.05)。(4)观察组并发症发生率(11.11%)较对照组(20.00%)低(χ^(2)=1.353,P=0.245)。结论 相较于俯卧位,取半截石斜侧卧位行经皮肾镜碎石术可更好地清除肾结石患者体内结石,改善肾功能指标,降低并发症发生率。
Objective To observe and analyze the treatment effect of differential position percutaneous nephrolithotomy on patients with renal calculus.Methods Ninety patients with renal calculus admitted to the Urology Department of Xinyang Central Hospital from May 2021 to July 2023 were included in the study.All patients underwent percutaneous nephrolithotomy after admission,and they were divided into two groups according to the operating position.The control group(45 cases)took the prone position,and the observation group(45 cases)took the oblique half lithotomy position.The surgical effects,renal function,surgical indicators,and complication incidence were compared between the two groups.Results(1)The stone clearance rate in the observation group was higher than that in the control group,(97.78%vs.77.78%,χ^(2)=8.389,P=0.004).(2)After treatment,the serum creatinine and urea nitrogen levels in the observation group were lower than those in the control group,and the serum albumin level was higher than that in the control group(P<0.05).(3)The total surgical time in the observation group was shorter than that in the control group,and the intraoperative bleeding volume was less than that in the control group(P<0.05).(4)The complication incidence in the observation group was lower than that in the control group,(11.11%vs.20.00%,χ^(2)=1.353,P=0.245).Conclusion Compared with the prone position,taking the oblique half lithotomy position for percutaneous nephrolithotomy can better clear renal calculus in patients with renal calculus,improve renal function indicators,and reduce the incidence of complications.
作者
杜克刚
李斌
陆伟
DU Kegang;LI Bin;LU Wei(Department of Urology,Xinyang Central Hospital,Xinyang 464000,China)
出处
《河南医学研究》
CAS
2024年第24期4491-4494,共4页
Henan Medical Research
关键词
肾结石
体位
经皮肾镜碎石术
疗效
肾功能
renal calculus
position
percutaneous nephrolithotomy
efficacy
renal function