HIV阳性肾结石患者行无管化经皮肾镜碎石取石术的疗效分析

曹楚潇; 王永志; 刘同族; 张林

doi:10.14188/j.1671-8852.2024.0794

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HIV阳性肾结石患者行无管化经皮肾镜碎石取石术的疗效分析

临床医学研究 | 更新时间：2026-11-05

- HIV阳性肾结石患者行无管化经皮肾镜碎石取石术的疗效分析
- Efficacy analysis of tubeless percutaneous nephrolithotomy in the treatment of HIV positive patients with kidney calculi
- 武汉大学学报（医学版） 2025年46卷第5期页码：666-669
- 作者机构：
  
  1.荆门市中医医院泌尿外科湖北荆门 448000
  2.武汉大学中南医院泌尿外科湖北武汉 430071
- 作者简介：
  
  曹楚潇，男，1968—，副主任医师，主要从事泌尿生殖、男科相关疾病的研究，E⁃mail:873056378@qq.com
  张林，男，1980—，医学博士，副主任医师，主要从事泌尿系结石的研究，E⁃mail:thezhanglin@hotmail.com
- 基金信息：
- DOI：10.14188/j.1671-8852.2024.0794
  中图分类号： R692.4
- 收稿：2024-10-21，
  
  纸质出版：2025-05-25
- 稿件说明：
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曹楚潇,王永志,刘同族等.HIV阳性肾结石患者行无管化经皮肾镜碎石取石术的疗效分析[J].武汉大学学报（医学版）,2025,46(05):666-669.

CAO Chuxiao,WANG Yongzhi,LIU Tongzu,et al.Efficacy analysis of tubeless percutaneous nephrolithotomy in the treatment of HIV positive patients with kidney calculi[J].Medical Journal of Wuhan University,2025,46(05):666-669.
曹楚潇,王永志,刘同族等.HIV阳性肾结石患者行无管化经皮肾镜碎石取石术的疗效分析[J].武汉大学学报（医学版）,2025,46(05):666-669. DOI： 10.14188/j.1671-8852.2024.0794.

CAO Chuxiao,WANG Yongzhi,LIU Tongzu,et al.Efficacy analysis of tubeless percutaneous nephrolithotomy in the treatment of HIV positive patients with kidney calculi[J].Medical Journal of Wuhan University,2025,46(05):666-669. DOI： 10.14188/j.1671-8852.2024.0794.

摘要

目的

探讨无管化经皮肾镜碎石取石术治疗HIV阳性肾结石患者的有效性和安全性。

方法

回顾性分析武汉大学中南医院2015年6月至2019年6月肾结石患者，STONE评分均为6分，由同一术者主刀，行无管化经皮肾镜碎石取石术，术后不留置肾造瘘管，留置输尿管支架管和导尿管。HIV阳性组患者11例，HIV阴性组患者26例。比较两组的结石清除率、术后并发症、手术时间、术后住院天数。

结果

所有患者均无脓毒血症、肾功能不全、大出血等重大并发症，HIV阳性组和HIV阴性组的结石清除率及术后住院天数，差异均无统计学意义；HIV阳性组的手术时间明显高于HIV阴性组，分别为（93.73±3.45） min和（83.42±2.59） min。

结论

无管化经皮肾镜碎石取石术治疗HIV阳性肾结石(STONE评分为6分)安全，效果满意，对HIV阳性肾结石患者有肯定的临床价值。

Abstract

Objective

To evaluate the efficacy and safety of tubeless percutaneous nephrolithotomy (PCNL) in the treatment of HIV positive patients with kidney calculi.

Methods

A retrospective analysis was performed on the patients with kidney calculi in Zhongnan Hospital of Wuhan University from June 2015 to June 2019. All patients had an S.T.O.N.E score of 6 and underwent tubeless PCNL performed by the same surgeon. Postoperatively

no nephrostomy tube was placed

but a ureteral stent and urinary catheter were retained. There were 11 patients in the HIV positive group and 26 patients in the HIV negative group

and the stone clearance rate

postoperative complications

operation time

and postoperative hospital stay were compared between the two groups.

Results

No patient experienced major complications such as sepsis

renal insufficiency

or significant bleeding. There was no significant difference in postoperative hospital stay and the stone clearance rates between the HIV positive and HIV negative groups. The operation time in the HIV positive group was significantly longer than that in the HIV negative group

as (93.73±3.45) min versus (83.42±2.59) min

respectively.

Conclusion

Tubeless PCNL is a safe and effective treatment for HIV⁃positive patients with renal calculi (S.T.O.N.E score of 6)

demonstrating satisfactory outcomes and significant clinical value for this patient population.

关键词

Keywords

references

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