| 黎德林，黄恒海，陈值权，龙勇新，林圣皓.输尿管软镜联合可视穿刺F4.8超微通道经皮肾镜治疗肾多发性结石的临床研究[J].中国医药科学,2023,(1):187-191 基金项目:广西壮族自治区梧州市科技计划项目（201902083） |
| 输尿管软镜联合可视穿刺F4.8超微通道经皮肾镜治疗肾多发性结石的临床研究 |
| Clinical study of flexible ureteroscopy combined with F4.8 visual puncture super-mini percutaneous nephrolithotomy in the treatment of multiple renal calculi |
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| DOI： |
| 中文关键词: 输尿管软镜；F4.8超微通道；经皮肾镜；肾多发性结石 |
| 英文关键词:Flexible ureteroscope; F4.8 super-mini channel; Percutaneous nephrolithotomy; Multiple renal calculi |
| 作者 | 单位 | | 黎德林，黄恒海，陈值权，龙勇新，林圣皓 | 广西壮族自治区梧州市工人医院泌尿外科，广西梧州 543001 |
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| 中文摘要: |
| [摘要] 目的 分析输尿管软镜联合可视穿刺F4.8超微通道经皮肾镜治疗肾多发性结石的临床效果。 方法 选取2020年1月至2021年12月梧州市工人医院诊治的106例肾多发性结石患者进行研究。采用随机数表法将患者分为对照组A（n=35）、对照组B（n=35）和治疗组（n=36），对照组A采用输尿管软镜治疗，对照组B采用经皮肾镜治疗，治疗组采用输尿管软镜联合可视穿刺F4.8超微通道经皮肾镜治疗，比较三组患者的手术相关指标、血白细胞计数、血红蛋白水平、镇痛药使用率、术后4周清石成功率及并发症发生情况。 结果 治疗组的手术时间大于对照组A，治疗组的术后住院时间、术后视觉模拟量表（VAS）评分、镇痛药使用率小于对照组B，治疗组的术后4周清石率大于对照组A和对照组B，对照组A的手术时间、术后住院时间、术后VAS评分、镇痛药使用率小于对照组B，差异有统计学意义（P < 0.05），治疗组与对照组B的手术时间比较，差异无统计学意义（P > 0.05），治疗组与对照组A的术后住院时间、术后VAS评分、镇痛药使用率比较，差异无统计学意义（P > 0.05），对照组A与对照组B的术后4周清石率比较，差异无统计学意义（P > 0.05）；三组患者术前与术后的白细胞计数、血红蛋白水平比较，差异无统计学意义（P > 0.05）；三组患者术后并发症总发生率比较，差异无统计学意义（P > 0.05）。 结论 输尿管软镜联合可视穿刺F4.8超微通道经皮肾镜治疗肾多发性结石的临床效果显著，可有效提高结石清除成功率，降低手术并发症，值得临床推广使用。 |
| 英文摘要: |
| [Abstract] Objective To analyze the clinical effect of flexible ureteroscopy combined with F4.8 visual puncture super-mini percutaneous nephrolithotomy in the treatment of multiple renal calculi. Methods A total of 106 cases diagnosed and treated with multiple renal calculi in Wuzhou Gongren Hospital from January 2020 to December 2021 were selected. The patients were randomly divided into the control group A (n=35), the control group B (n=35) and the treatment group (n=36) by the random number table method. The control group A was treated with flexible ureteroscope, the control group B was treated with percutaneous nephrolithotomy, and the treatment group was treated with flexible ureteroscope combined with F4.8 visual puncture super-mini percutaneous nephrolithotomy. The operation-related indicators, white blood cell count, hemoglobin level, analgesic use rate, success rate of calculi removal at four weeks after operation and complications of the three groups were compared. Results The operation time of the treatment group was longer than that of the control group A, the postoperative hospital stay, VAS score and analgesic use rate of the treatment group were lower than those of the control group B, the success rate of calculi removal of the treatment group four weeks after operation was higher than those of the control groups A and B, the operation time, postoperative hospital stay, VAS score and analgesic use rate of the control group A were lower than those of the control group B, with statistically significant differences (P < 0.05). There was no significant difference in the operation time between the treatment group and the control group B (P > 0.05). There were no significant differences in the postoperative hospital stay, VAS score after operation and analgesic use rate between the treatment group and the control group A (P > 0.05). There was no significant difference in the calculi removal rate of the control groups A and B four weeks after operation (P > 0.05). There were no significant differences in blood white blood cell counts and hemoglobin levels among the three groups before and after operation (P > 0.05). There were no significant differences in the total incidence of postoperative complications among the three groups (P > 0.05). Conclusion The flexible ureteroscope combined with F4.8 visual puncture super-mini percutaneous nephrolithotomy has significant clinical effects in the treatment of multiple renal calculi, which can effectively improve the success rate of calculi removal and reduce surgical complications. Therefore, it is worthy of clinical promotion and use. |
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