论文部分内容阅读
目的探讨与评价微通道和标准通道经皮肾镜碎石取石术(PCNL)两种方法对出血的影响。方法我们采用标准通道(24F)和微通道(18F)PCNL治疗复杂性肾结石72例,并记录手术前后血红蛋白(Hb)数值,推出血红蛋白下降数值。结果微通道组32例,Hb下降9～35g/L,平均下降22.3g/L;标准通道组40例,平均下降22.9g/L,两组比较无显著性差异(P>0.05)。结论 PCNL采用标准通道出血不会比采用微通道出血多,至于采取何种通道,取决于结石大小及采用碎石器械设备条件而定。
Objective To investigate and evaluate the effects of microcirculation and standard channel percutaneous nephrolithotomy (PCNL) on hemorrhage. Methods 72 cases of complicated renal calculus were treated with standard channel (24F) and microchannel (18F) PCNL. The values of hemoglobin (Hb) before and after surgery were recorded and the value of hemoglobin decrease was introduced. Results 32 patients in the microchannel group had Hb decreased by 9-35g / L, with an average decrease of 22.3g / L. In the standard access group, 40 patients were declining by 22.9g / L, with no significant difference between the two groups (P> 0.05). Conclusion PCNL standard bleeding with no more than the use of micro-channel bleeding, as to which channel to take, depending on the size of the stone and the equipment used gravel equipment may be.