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Y型扩张引流鞘联合无管化经皮肾镜碎石取石术治疗上尿路结石

肖伟洲

黑龙江科学2025,Vol.45Issue(5):453-456,4.
黑龙江科学2025,Vol.45Issue(5):453-456,4.DOI:10.3969/j.issn.1001-5779.2025.05.007

Y型扩张引流鞘联合无管化经皮肾镜碎石取石术治疗上尿路结石

Y-shaped dilated drainage sheath combined with non tubular percutaneous nephrolithotripsy for the treatment of upper urinary tract stones

肖伟洲1

作者信息

  • 1. 河源市源城区人民医院泌尿外科,广东 河源 517000
  • 折叠

摘要

Abstract

Objective:To explore the application value of Y-shaped dilated drainage sheath combined with non tubular percutaneous nephrolithotripsy(PCNL)in the treatment of upper urinary tract stones.Methods:A total of 74 cases with upper urinary tract stones admitted to Yuancheng District People's Hospital from April 2023 to December 2023 were selected as the study subjects.They were randomly divided into a control group and a study group,with 37 cases in each group.The control group received standard PCNL,while the study group received Y-shaped dilated drainage sheath combined with non tubular PCNL.The treatment effects of the two groups of patients were compared.Results:Compared with the control group,the study group had shorter surgical time,shorter hospital stay,higher stone free rate,lower hospitalization costs,lower intraoperative bleeding,lower incidence of infection complications within 4 days after surgery,and lower postoperative pain.The proportion of using opioid analgesics was lower,and lower postoperative pain,and lower proportion of using opioid analgesics,all with statistical significance(P<0.05).Conclusion:The combination of Y-shaped dilated drainage sheath with non tubular PCNL for the treatment of upper urinary tract stones can shorten surgical time,hospitalization cycle,improve stone free rate;reduce hospitalization costs,intraoperative bleeding,postoperative infection complications and pain.It is recommended to use Y-shaped dilated drainage sheath combined with non tubular PCNL more widely in specific patients without contraindications for the treatment of upper urinary tract stones.

关键词

Y型扩张引流鞘/上尿路结石/经皮肾镜碎石取石术

Key words

Y-shaped dilated drainage sheath/Upper urinary tract stones/Percutaneous nephrolithotomy

分类

临床医学

引用本文复制引用

肖伟洲..Y型扩张引流鞘联合无管化经皮肾镜碎石取石术治疗上尿路结石[J].黑龙江科学,2025,45(5):453-456,4.

基金项目

河源市社会发展科技计划(指导性)项目(230516151604378) (指导性)

黑龙江科学

1001-5779

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