中国现代医生2024，Vol.62Issue(12)：57-59,3.DOI:10.3969/j.issn.1673-9701.2024.12.013
3种人造肾积水方法在经皮肾镜取石术中的应用
Application of three artificial kidney hydronephrosis methods in percutaneous nephrolithotripsy
陶维雄 1施源 1李坚 1鲁密 1王君君 1张辉1
作者信息
- 1. 武汉市第八医院泌尿外科,湖北武汉 430012
- 折叠
摘要
Abstract
Objective To compare the effects of three kinds of artificial hydronephrosis in percutaneous nephrolithotomy.Methods A total of 120 patients who underwent single-tract percutaneous nephrolithotomy in the Eighth Hospital of Wuhan from May 2020 to April 2022 were selected and divided equally into three groups according to different methods of artificial hydronephrosis.Patients in group A were received preoperative indwelling ureteral catheter and injection of normal saline through ureteral catheter to dilate renal pelvis and form artificial hydronephrosis.Patients in Group B were placed with double J catheters before surgery,and the bladder was filled with physiological saline through the catheter.The renal pelvis was dilated through the double J catheters,resulting in artificial hydronephrosis.Patients in Group C were received intravenous injection of furosemide and stimulated diuretic method to actively dilate renal pelvis to form hydronephrosis.The one-time puncture success rate,channel establishment time,overall operation time,stone clearance rate and incidence of surgical complications of percutaneous nephrolithotomy after hydronephrosis were compared among the three groups.Results The operation was successfully completed in the three groups.There was no significant difference in the one-time puncture success rate and channel establishment time between group A and group B(P>0.05),which were all higher than group C(P<0.05).The overall operation time of group B was shorter than that of group A and group C(P<0.05).There were no significant differences in stone clearance rate and surgical complications among the three groups(P>0.05).Conclusion Preoperative indwelling of double J tubes to create artificial kidney hydronephrosis has advantages such as high success rate of one-time puncture,short channel establishment time,and surgical time.关键词
人造肾积水/经皮肾镜取石术/输尿管导管/双J管/刺激性利尿Key words
Artificial hydronephrosis/Percutaneous nephrolithotomy/Ureteral catheter/Double J tube/Stimulated diuresis分类
医药卫生引用本文复制引用
陶维雄,施源,李坚,鲁密,王君君,张辉..3种人造肾积水方法在经皮肾镜取石术中的应用[J].中国现代医生,2024,62(12):57-59,3.
