二期碎石在经皮肾镜治疗肾结石中的应用  

Stage Ⅱ percutaneous nephrolithotomy for renal calculi

作　　者：曾德朗[1] 李建勇[1] 鲜述彦[1] 唐铁龙[1] 鲁栋梁[1] 程树林[1] 杨雪松[1] 

机构地区：[1]川北医学院附属医院泌尿外科,四川南充637000

出　　处：《四川医学》2012年第6期973-974,共2页Sichuan Medical Journal

摘　　要：目的探讨二期碎石在经皮肾镜碎石取石术治疗肾结石中的安全性和有效性。方法采用经皮肾镜治疗肾结石共292例,其中一期碎石174例,二期碎石118例。比较两组患者碎石时间、术后血红蛋白下降值、碎石术后前3天最高体温以及结石清除率。结果发现二期碎石在碎石时间、术后血红蛋白下降值、碎石术后前3天最高体温以及结石清除率方面均优于一期碎石,差异有统计学意义。结论通过经皮肾镜碎石取石术治疗肾结石时,二期碎石在安全性和有效性方面均优于一期碎石。Objective To evaluate the safety and effectiveness of stage Ⅱ percutaneous nephrolithotomy（PCNL） for renal calculi.Methods 292 patients with renal calculi were treated by percutaneous nephrolithotomy（174 cases by stage Ⅰ percutaneous nephrolithotomy,118 cases by stage Ⅱ percutaneous nephrolithotomy）.The value of hemoglobin to lower after operation,the time of broken stone,the highest body temperature after operation（broken stone operation） 3 days and the stone free rate of the two groups were compared.Results Stage Ⅱ broken stone was better than stage Ⅰ in the value of hemoglobin to lower after operation,the time of broken stone,the highest body temperature after operation（broken stone operation） 3 days and the stone free rate.It had a statistically significant difference between the two groups.Conclusion When the renal stones are treat by percutaneous nephrolithotomy,stage Ⅱ broken stone is better than stage Ⅰ in the security and effectiveness.

关 键 词：肾结石 经皮肾镜碎石取石术 二期 

分 类 号：R699[医药卫生—泌尿科学]