目的探讨经皮肾通道电凝联合球囊压迫止血在经皮肾镜手术中的临床应用价值。方法选取99例上尿路结石(输尿管上段结石、肾结石)患者为研究对象,随机将其分为A、B、C 3组,均进行经皮肾镜手术。术中A组给予经皮肾通道电凝联合球囊压迫止血,B组给予经皮肾通道电凝止血,C组给予球囊压迫止血。比较3组患者术后1 h和术后24 h的血红蛋白水平、术中出血量、术后住院时间及并发症发生情况。结果A组患者术后1 h、术后24 h的血红蛋白水平高于B、C组,术中出血量少于B、C组,术后住院时间短于B、C组(均P<0.05)。3组患者术后并发症发生情况差异无统计学意义(P>0.05)。结论对经皮肾镜手术患者采取经皮肾通道电凝联合球囊压迫止血的疗效显著,可以有效地减少术中出血量,缩短住院时间,同时具有较高的安全性,值得推广。
ObjectiveTo investigate the clinical application value of percutaneous renal channel electrocoagulation combined with balloon compression hemostasis in percutaneous nephroscopic surgery. MethodsA total of 99 patients with upper urinary tract calculus (upper ureteral calculus, renal calculus) were selected as the research objects, and they were randomly divided into group A, B or C for percutaneous nephroscopic surgery. During the operation, group A was treated with percutaneous renal channel electrocoagulation combined with balloon compression hemostasis, group B was treated with percutaneous renal electrocoagulation hemostasis, and group C was treated with balloon compression hemostasis. The hemoglobin levels, intraoperative bleeding volumes, postoperative hospital stays, and the occurrence of complications were compared between the three groups at 1 h and 24 h after the operation. ResultsIn group A, the hemoglobin levels at 1 h and 24 h after the operation were higher than those in group B and C, while the intraoperative bleeding volumes and postoperative hospital stays were less or shorter than those in group B and C (all P<0.05). There was no significant difference in postoperative complications among the 3 groups (P>0.05). ConclusionPercutaneous renal channel electrocoagulation combined with balloon compression hemostasis has significant efficacy in patients undergoing percutaneous nephroscopic surgery, which can effectively reduce the intraoperative bleeding volume and shorten the hospital stay. Meanwhile, it has high safety and is worthy of promotion.