摘要
目的:评价等离子电凝在微通道经皮肾镜操作通道止血应用中的有效性和安全性。方法:我院于2015年1月~2016年6月行经皮肾镜取石术263例,对其中术中发现操作通道存在动脉性出血的83例随机分成电凝组和对照组,电凝组应用等离子针状电极实施通道止血。比较两组间的术前资料、术后住院时间、手术时间、结石清除率、血红蛋白下降值、SRAE率、输血率、SIRS发生率、肾周积液发生率和肾周血肿发生率。结果:两组间术前各项指标对照分析差异均无统计学意义,具有可比性。电凝组术后住院时间、术后血红蛋白下降值优于对照组,差异有统计学意义(P<0.05);两组间手术时间、结石清除率、输血率、SRAE率、SIRS发生率、肾周积液发生率和肾周血肿发生率差异均无统计学意义。结论:等离子电凝明显减少和控制了微通道经皮肾镜操作通道的出血。该技术安全有效,易于临床推广应用。
Objective：To evaluate the efficacy and safety of plasma coagulation for hemorrhage of the operating tract of microchannel percutaneous nephrolithotomy.Method：A total of 263 patients were performed microchannel percutaneous nephrolithotomy at our hospital from Jan.2015 to Jun.2016,and 83 patients who were examined bleeding of artery of the tract in the operation were divided randomly into a plasma coagulation group and a comparison group.The preoperative data,length of postoperative hospital stay,operating time,stone free rate,drop of haematoglobin,blood transfusion rate,SRAE rate,SIRS incidence,hydroperinephrosis rate and perirenal hematoma rate were compared.Result：No statistically significant difference in the preoperative data,operating time,stone free rate,blood transfusion rate,SRAE rate,SIRS incidence,hydroperinephrosis rate and perirenal hematoma rate was found between patients of two groups.The length of postoperative hospital stay and the drop of haematoglobin in group of plasma coagulation were significantly better than those of comparison group（P〈0.05）.Conclusion：Plasma coagulation significantly decreases the hemorrhage of the tract of microchannel percutaneous nephrolithotomy without causing an increased morbidity.This procedure is safe,effective and easy to be popularized.
作者
曹建伟
黄钢
郎根强
章益峰
褚健
庄剑秋
陈元贵
张炯
CAO Jianwei HUANG Gang LANG Genqiang ZHANG Yifeng CHU Jian ZHUANG Jianqiu CHEN Yuangui ZHANG Jiong(Department of Urology, Military 411th Hospital, Shanghai, 200081, China)
出处
《临床泌尿外科杂志》
2017年第1期46-50,共5页
Journal of Clinical Urology
基金
上海市虹口区卫计委科研课题计划资助项目(编号虹卫1403-18)
关键词
经皮肾镜取石术
操作通道
等离子电凝
止血
percutaneous nephrolithotomy
operating tract
plasma coagulation
hemostasis
