无实时影像学定位穿刺无管化经皮肾镜取石术治疗上尿路结石的效果.docVIP

无实时影像学定位穿刺无管化经皮肾镜取石术治疗上尿路结石的效果 　　[摘要]目的 探?无实时影像学定位穿刺无管化经皮肾镜取石术（MPCNL）治疗上尿路结石的临床效果。方法 回顾性分析我院手术治疗247例上尿路结石患者临床资料，根据术式不同分为观察组（110例）和对照组（137例）。对照组患者给予临床标准经皮肾镜取石术（PCNL），观察组患者实施无实时影像学定位穿刺MPCNL治疗。分析对比两组患者手术指标和术后相关指标。结果 与对照组比较，观察组患者手术时间缩短，输血比例下降，镇痛药物使用量低，两组患者手术指标差异有统计学意义（P0.05）。结论 MPCNL可明显改善上尿路结石患者的手术指标，缩短住院时间，减少手术疼痛，降低术后并发症发生率，有利于患者术后康复，值得临床借鉴和推广。 　　[关键词]无管化经皮肾镜取石术；经皮肾镜取石术；上尿路结石；效果 　　[中图分类号] R691.4 [文献标识码] A [文章编号] 1674-4721（2018）3（a）-0072-03 　　The effect of percutaneous nephrolithotomy without real time imaging and percutaneous nephrolithotomy for the treatment of upper urinary calculi 　　WU Jun-yong SHI Ming PENG Ping LUO Yan-ping ZHONG Shuang-hui LIU Fu-kang YANG Jie-lin 　　Department of Urology，Nankang Friendship Hospital，Jiangxi Province，Ganzhou 341000，China 　　[Abstract]Objective To explore the clinical effect of minimally invasive percutaneous nephrolithotomy（MPCNL） in the treatment of upper urinary calculi without real-time imaging.Methods The clinical data of 247 cases of upper urinary calculi in our hospital were analyzed retrospectively and divided into the observation group and the control group according to the different surgical methods.110 cases of the control group were treated with clinical standard percutaneous nephrolithotomy（PCNL），and 137 patients in the observation group were treated with MPCNL，the surgical indicators and postoperative related indicators of two groups were analyzed.Results Compared with the control group，the observation group had shorter operative time，lower transfusion ratio and lower analgesic dosage.There were a significant differences in operative index between the two groups （P0.05）.Conclusion MPCNL can significantly improve operative indicators of upper urinary calculi，shorten hospitalization time，reduce operative pain and reduce postoperative complication rate，which is conducive to postoperative rehabilitation，and is worthy of clinical reference and promotion. 　　[Key words]Minimally invasive percutaneous nephrolithotomy；