| 摘要: |
| ［摘要］目的 比较不同型号的经皮肾通道联合钬激光治疗复杂性上尿路结石的临床疗效．方法 16 F经皮肾通道组纳入患者32例，20 F经皮肾通道组纳入患者20例．按常规方法建立经皮肾通道后，以钬激光碎石并洗出．比较2组间一期手术结石清除率、平均手术时间、术后血色素下降水平及输血率．结果 16 F经皮肾通道组一期手术结石清除率为47%（15/32），20 F经皮肾通道组一期手术结石清除率为65%（13/20），差异无统计学意义（P＞0.05）；16 F组平均手术时间为（2.3±0.6） h，20 F组平均手术时间为（1.5±0.5） h，差异有统计学意义（P＜0.05）；16 F组术后血色素下降水平为（16±7.5） g/L，20 F组术后血色素下降水平为（18±8.5） g/L，差异无统计学意义（P＞0.05）；16F组输血率为6%（2/32），20F组输血率为10%（2/20），差异无统计学意义（P＞0.05）．结论 20 F经皮肾通道治疗复杂性上尿路结石具有高效、快速、安全等优点，值得采用 |
| 关键词: ［关键词］复杂性上尿路结石 经皮肾镜取石术 经皮肾造瘘通道 治疗 |
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| Treating Complex Upper Urinary Calculi With Different Type of Channel of Percutaneous Renal Fistula |
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ZHAN Hui
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| Abstract: |
| ［Abstract］Objective To compare the clinical result of different type of channel of percutaneous renal fistula in treatment of complex upper urinary calculi．Methods 32 patients accepted the operation with 16 F channel of percutaneous renal fistula，and 20 patients with 20 F channel．After the channel was made，the litholapaxy was performed with the help of Holmium Laser．The clean rate of the stone in one-stage operation，average time of the operation，the postoperative decreasing level of hemoglobin and the rate of blood transfusion were compared between these 2 groups．Results The clean rate of the stone in one-stage operation of the 16F group was 47%（15/32）， and to the 20F group，it was 65%（13/20），the difference was insignificant（P＞0.05）；the average time of operation of 16F group was 2.3±0.6 hours，and it was 1.5±0.5 hours in 20 F group，the difference was significant（P＜0.05）； the postoperative decreasing level of hemoglobin of 16 F group was 16±7.5 g/L，and it was 18±8.5 g/L in 20 F group， and the difference was insignificant（P＞0.05）；the rate of blood transfusion of 16F group was 6%（2/32）， and it was 10%（2/20）to 20 F group，the difference was insignificant（P＞0.05）．Conclusion In the treatment of complex upper urinary calculi， when compared with 16F channel of percutaneous renal fistula， 20 F channel is more effective，rapid and safe，so this channel deserves to be used in clinical works |
| Key words: ［Key words］Complex upper urinary calculi Percutaneous nephrolithotripsy Channel of percutaneous renal fistula Treatment |