3种人造肾积水方法在经皮肾镜取石术中的应用.docx

3种人造肾积水方法在经皮肾镜取石术中的应用

陶维雄施源李坚鲁密王君君张辉

[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

[中图分类号]?R691.4??????[文献标识码]?A????[DOI]?10.3969/j.issn.1673-9701.2024.12.013

Application?of?three?artificial?kidney?hydronephrosis?methods?in?percutaneous?nephrolithotripsy

TAO?Weixiong，?SHI?Yuan，?LI?Jian，?LU?Mi，?WANG?Junjun，?ZHANG?Hui

Department?of?Urology，?the?Eighth?Hospital?of?Wuhan，?Wuhan?430012，?Hubei，?China

[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?（P0.05），?which?were?all?higher?than?group?C?（P0.05）.?The?overall?operation?time?of?group?B?was?shorter?than?that?of?group?A?and?group?C?（P0.05）.?There?were?no?significant?differenc