肾窦内肾盂及肾后唇实质弧形切开取石术与肾盂肾实质切开取石术治疗复杂性鹿角形肾结石的比较  

The comparison of complex staghorn renal calculi between arc renal parenchyma incision of pelvis within renal sinus and renal posterior lib for the removal with traditional pelvis renal

作　　者：李化升 梁烽扬 罗书锋 李燕凤[1] 郑业辉[1] 罗超[1] 

机构地区：[1]广西壮族自治区玉林市红十字会医院泌尿外科,广西玉林537000

出　　处：《中国现代医学杂志》2013年第1期83-86,共4页China Journal of Modern Medicine

摘　　要：目的探讨肾窦内肾盂及肾后唇实质弧形切开取石术与肾盂肾实质切开取石术治疗复杂性鹿角形肾结石的效果。方法将65例复杂性鹿角形肾结石患者,随机分成两组,34例采用肾窦内肾盂及肾后唇实质弧形切开取石术(观察组),31例采用肾盂肾实质切开取石术(对照组)。观察血BUN、Scr、胱抑素C(CystatinC,CysC)、β2-MG和尿β2-MG手术前后变化,手术时间、出血量、输血率、结石清除率、发生的并发症进行比较。结果两组术前、术后血BUN、Scr、CysC、β2-MG、尿β2-MG相比差异无显著性(P>0.05),出血量、输血率、并发症相比亦差异无显著性(P>0.05),而手术时间、结石清除率相比差异有显著性(P<0.05)。结论肾窦内肾盂及肾后唇实质弧形切开取石术治疗复杂性鹿角形肾结石安全、结石清除率高,目前仍值得推广。[ Objective ] To evaluate the efficiency and safety of treating complex staghorn renal calculi between arc renal parenchyma incision of pelvis within renal sinus and renal posterior lib for the removal with traditional pelvis renal. [Method] 65 cases of complex staghorn renal calculus patients were divided into two groups. 34 cases were performed by are renal parenchyma incision of pelvis within renal sinus and renal posterior lib for the removal of renal calculi （Group observation）. 31 cases received traditional pelvis renal operation for the calculus （Group com- parison）. The changes of blood BUN, Scr, CysC, β2-MG and urinary β2-MG were observed; In the meantime their intraoperative time, blood loss, the rate of blood transfusion, the free-rate of calculus of these two groups were com- pared before and after the operation. [Result] There was no significant difference of blood BUN, Ser, CysC, β2-MG and urinary β2-MG （P 〉0.05） between two groups, nor the rates of blood transfusion or the complications （P 〉0.05）. But there were some distinct meanings in the intraoperative time and the free-rate calculi （P 〈0.05）. [ Conclusion ] It＇s safe, high free-rate for calculi and is popularized to treat complex staghom renal calculus for arc renal parenehy- ma incision of pelvis within renal sinus and renal posterior lib for the removal.

关 键 词：肾结石 外科手术 

分 类 号：R692.4[医药卫生—泌尿科学]