Y型扩张引流鞘联合无管化经皮肾镜碎石取石术 治疗上尿路结石

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中图分类号：R692.4 文献标志码：A 文章编号：1001-5779（2025）05-0453-04

DOI：10.3969/j.issn.1001-5779.2025.05.007

Abstract：Objective：To explore theapplication valueofY-shaped dilated drainage sheathcombined with non tubular percutaneous nephrolithotripsy（PCNL）inthe treatment of upperurinarytract stones.Methods ：Atotal of74 cases with upper urinary tract stones admited to Yuancheng District People's Hospital from April2O23 to December2023 were selected as the study subjects.They wererandomlydivided intoacontrol group and astudy group，with 37cases in each group.Thecontrol group received standard PCNL，whilethe study groupreceived Y-shaped dilated drainage sheath combined withnon tubularPCNL.The treatmentefects of the two groupsof patients werecompared.Results： Compared withthe control group，thestudy group had shorter surgicaltime，shorter hospital stay，higher stone freerate，lower hospitalizationcosts，lower intraoperative bleeding，lower incidenceof infection complications within 4daysaftersurgery， andlower postoperativepain.Theproportionofusing opioidanalgesics waslower，andlowerpostoperativepain，ndlower proportion of using opioid analgesics，all with statistical significance（ P<0.05 ）.Conclusion：The combination of Y-shapeddilated drainage sheath with nontubularPCNLforthe treatmentofupper urinarytractstones canshorten surgical time，hospitalization cycle，improve stonefreerate；reduce hospitalization costs，intraoperative bleeding，postoperative infectioncomplicationsandpain.Itisrecommended touseY-shapeddilated drainagesheathcombinedwithnon tubular PCNL more widely in specific patients without contraindications for the treatment of upper urinary tract stones.

Key Words：Y-shaped dilated drainage sheath；Upper urinary tract stones；Percutaneous nephrolithotomy

尿路结石是最常见的良性泌尿系统疾病之一，普通人群患病率约为 12% ，复发率达 50% ，在南方地区尿路结石较为常见[1]。（剩余5395字）