腹腔镜下直视与B超引导经皮肾穿剌取石治疗肾结石的疗效比较  

Comparative study on the effects of percutaneous nephrolithotomy guided by laparoscopy and B-ultrasound for the treatment of kidney calculi

作　　者：邓孙林 王忠[2] 黎锐波 盘毅辉 李伟 金万亮 郭建业 

机构地区：[1]广东省东莞市中堂医院外三科,523220 [2]广东药学院第一附属医院泌尿外科

出　　处：《中国实用医药》2012年第22期44-46,共3页China Practical Medicine

基　　金：广东省东莞市医疗卫生单位科技项目(项目编号:201110515000384)

摘　　要：目的比较腹腔镜下直视与B超引导经皮肾穿剌取石治疗肾结石的临床效果及并发症。方法将61例需行经皮肾镜取石(PCNL)治疗的肾结石患者随机分为观察组31例和对照组30例,观察组采用腹腔镜下直视经皮肾穿刺取石,对照组采用超声引导下经皮肾穿刺取石。结果观察组术中出血量明显少于对照组(P<0.05),但手术时间及住院时间则长于对照组(P<0.05),观察组一次穿刺成功率和结石手术取净率均高于对照组,但两组比较差异无显著性(P>0.05)。两组术后继发出血、发热等并发症比较也无显著性差异(P>0.05)。结论腹腔镜下直视经皮肾穿剌取石治疗肾结石是一种直观、安全、有效的方法,值得临床进一步观察。Objective To compare the efficacy and complications of percutaneous nephrolithotomy guided by laparoscopy and B-ultrasound for the treatment of kidney calculi.Methods 61 patients with kidney calculi were divided randomly into observation group（n=31） and control group（n=30）,receiving treatment of percutaneous nephrolithotomy guided by laparoscopy and B-ultrasound respectively.Results The intraoperative blood loss in observation group were smaller than the control（P0.05）,but the operation time and hospitalization time in observation group were longer than the control（both P0.05）.The successful rate of channels were established and the stone free rate in observation group were higher than the control,but there were no statistical significances between both groups（both P0.05）.There were no statistical significance of post-operation complications between both groups（P0.05）.Conclusion Percutaneous nephrolithotomy guided by laparoscopy for kidney calculi is direct vision,safe and effective,and deserve to be observed further in clinic.

关 键 词：肾结石 经皮肾镜取石术 超声定位 腹腔镜 

分 类 号：R692.4[医药卫生—泌尿科学]