经皮肾镜下气压弹道碎石术与超声碎石术治疗感染性肾结石疗效观察  

Efficacy and Safety of Percutaneous Pneumatic and Ultrasound Lithotripsy in Treatment of Infectious Kidney Calculi

作　　者：赵春利[1] 王佳荣[2] 张颖[3] 张晶[2] 

机构地区：[1]河北大学附属医院泌尿外科,河北省保定市071000 [2]河北大学泌尿外科硕士研究生 [3]河北省保定市第一医院神经内科

出　　处：《中国全科医学》2011年第21期2450-2451,共2页Chinese General Practice

摘　　要：目的观察经皮肾镜下气压弹道碎石术与超声碎石术治疗感染性肾结石的疗效。方法回顾性分析应用经皮肾镜气压弹道碎石术与EMS三代超声碎石术两种方法治疗的128例感染性肾结石患者的临床资料,比较两组治疗效果及并发症。结果气压弹道组结石完全取净52例(85.25%),EMS三代超声组结石完全取净64例(95.52%),两组比较差异有统计学意义(P<0.05)。气压弹道组碎石时间(1.37±0.47)h,EMS三代超声组手术时间(1.33±0.41)h,两组比较差异无统计学意义(P>0.05)。气压弹道组住院时间(9.30±1.44)d,EMS三代超声组住院时间(6.43±1.10)d,两组比较差异有统计学意义(t=12.68,P<0.05)。气压弹道组术后出现并发症15例(24.59%),EMS三代超声组术后出现并发症5例(7.46%),两组比较差异有统计学意义(P<0.05)。结论对于感染性肾结石的微创治疗,经皮肾镜下EMS三代超声碎石术治疗效果优于气压弹道碎石术,且患者恢复较快、并发症较少。Objective To evaluate the efficacy and safety of percutaneous pneumatic and ultrasound lithotripsy in treatment of infectious kidney calculi.Methods A total of 128 patients were treated with pereutaneous pneumatic or ultrasound lithotripsy,with the efficacy and complications compared.Results The rate of stone clearance were 85.25%（52/61） for the pneumatic group and 92.52%（64/67） for the ultrasound group（P0.05）;the operation time was（1.37±0.47）hours for the pneumatic group and（1.33±0.41） hours for the ultrasound group（P0.05）;the mean postoperative hospital stay was（9.30±1.44） days for the pneumatic group and（6.43±1.10） for the ultrasound group（χ2=12.68,P0.05）;the rate of complications was 25.49%（15/61） for the pneumatic group and 7.46%（5/67） for the ultrasound group（P0.05）.Conclusion As for minipuncture treatment of infectious kidney calculi,ultrasound lithotripsy is more effective than pneumatic lithotripsy,with a shorter hospital stay and less complications.

关 键 词：肾结石 碎石术 

分 类 号：R692.4[医药卫生—泌尿科学]