摘要
目的探讨不同体质指数（BMI）患者经皮肾镜碎石术（PCNL）治疗效果是否存在不同，评价BMI对PCNL的影响。方法84例肾结石行PCNL治疗的患者，按照BMI不同分为BMI〈18．5k咖。组（低BMI组）16例、18．5kg／m^2BMI〈24．0ks／m^2组（正常BMI组）36例、BMI≥24．0ks／m^2组（高BMI组）32例，评价各组疗效。结果三组手术时间、多通道碎石率、结石清除率、住院时间、输血率比较差异无统计学意义（P〉0．05），低BMI组并发症发生率为31．25％（5，16），明显高于正常BMI组5．56％（2，36）及高BMI组9．38％（3，32），差异有统计学意义（P〈0．05）。结论BMI对PCNL存在一定影响，低BMI会影响患者对手术的耐受性，引起并发症发生增多，高BMI会增加手术难度。
Objective To investigate the effect of percutaneous nephrostolithotomy （PCNL） on patients with different body mass index. Methods The clinical data of 84 patients with kidney stones who were treated with PCNL surgical treatment were enrolled in this study, and they were divided into different groups according to body mass index （BMI）, including 16 cases of BMI 〈 18.5 kg/m^2（low BMI group）, 36 cases of 18.5 kg/m^2≤BMI 〈 24.0 kg/m^2 （normal BMI group）, 32 cases of BMI 924.0 kg/m^2 （high BMI group）, and the curative effect was evaluated. Results Three groups＇ operation time, multichannel gravel rate, stones clearance, length of hospital stay, blood transfusion rate had no significant difference （P 〉 0.05 ）, the incidence of complications in low BMI group [31.25%（5/16） 1 was obviously higher than that in normal BMI group [5.56%（2/36）] and high BMI group [9.38%（3/32）], there was significant difference （P 〈 0.05）. Conclusion BMI of PCNL surgery influences on certain effect, low BMI will affect patients with surgery tolerance, cause complications increase, obesity will increase the difllcu]ty of the operation.
出处
《中国医师进修杂志》
2013年第14期14-16,共3页
Chinese Journal of Postgraduates of Medicine
关键词
肾结石
肾造口术
经皮
碎石术
体质指数
Kidney calculi
Nephrostomy, percutaneous
Lithotripsy
Body mass index
作者简介
通信作者：李建华，Email：lisui18@163．com
