摘要
目的:分析影响改良侧卧位经皮肾取石术手术时间的因素.方法:收集2005～2012年由同一位医生行PCNL治疗肾结石233例病例资料,比较性别、年龄、结石大小、结石类型、结石位置、是否行EWSL、穿刺通道数量、是否合并肾积水以及外科手术经验等因素对手术时间的影响.结果:所有病例平均手术时间(91.1±36.3)min.性别、年龄、是否行ESWL 对手术时间无影响,结石的大小和手术时间有关(P＜0.05),结石的复杂程度、多通道穿刺、是否合并肾积水与手术时间相关,对手术时间的增加有统计学意义(P＜0.05).而手术经验的增加相应的减少手术时间.结论:结石大小、结石位置、结石类型穿刺通道数量、是否合并肾积水、手术经验是影响改良侧卧位经皮肾取石术手术时间的因素.
Objective:To assess the factors that influence operative time during percutanous nephrolithotomy(PCNL)with reformative lateral position.Methods:The clinical record and surgical outcome of 233patients treated with PCNL in our hospital between 2005and 2012were retrospectively reviewed.Factors such as sex,age,stone size,stone type,stone positive,number of tracks,history of shockwave lithotripsy(ESWL),presence of hydronephrosis and surgical experience were analysed and their impact on the operative time was investigated by statistical analysis.Results:The mean operative time was(91.1±36.3)min.The sex,age and history of ESWL had no effects on the operative time.There was a positive correlation between the stone size and operative time(P<0.05).Complex stone,calix access,multiple tracks and presence of hydronephrosis had significant impact on the operative time, there was an increase in the operative time when compared to the relevant control(P<0.05).Duration of the operation was also observed to decrease with increased surgical experience.Conclusions:Stone size,stone type,stone position,number of tracks,hydronephrosis and surgical experience are factors that influence the operative time of PCNL with reformative lateral position.
出处
《微创泌尿外科杂志》
2013年第6期391-393,共4页
Journal of Minimally Invasive Urology
关键词
微创经皮肾取石术
手术时间
影响因素
percutaneous nephrolithotomy
operative time
Assessment of factors
