微创经皮肾镜取石术治疗肾铸型结石分析——附86例报告  

Analysis of minimally invasive percutaneous nephrolithotomy in the treatment of renal staghorn calculi:a report of 86 cases

作　　者：赵晓峰[1] 杨树立[1] 路彦伟[1] 孙超群[1] 段戈凯 

机构地区：[1]河南平顶山市第一人民医院泌尿外科,平顶山467000

出　　处：《新医学》2013年第4期256-258,共3页Journal of New Medicine

摘　　要：目的:探讨微创经皮肾镜取石术(mini-PCNL)治疗肾铸型结石的临床疗效及安全性。方法:选择187例肾铸型结石患者,随机分为A组101例、B组86例,A组采用开放性手术取石治疗,B组采用mini-PCNL取石治疗,比较两种术式术中和术后的相关疗效及安全性指标。结果:A组结石清除率、术中输血率、并发症发生率分别为23%、80%、10%;B组则分别为93%、2%、1%,两组的输血率、结石清除率、并发症发生率比较差异均有统计学意义(P均<0.05)。与A组相比,B组术中出血量较少,手术时间、住院时间较短(P均<0.01)。结论:mini-PCNL治疗肾铸型结石具有安全性好、结石清除率高等优点,应作为肾铸型结石的首选手术治疗方法。Objective： To explore the clinical effect and safety of minimally invasive percutaneous nephrolithot- omy （mini-PCNL） on renal staghorn caleuli. Methods： One hundred and eighty-seven patients with renal staghorn calculi were selected and divided into two groups. Patients in group A （ n = 101 ） were treated with open surgery, and patients in group B （n =-86） were treated with mini-PCNL. The indices of clinical effect and safety in both groups were compared. Results： The stone clearance rate, transfusion rate, complication rate were 23% , 80% , 10% in group A, and 93%, 2%, 1% in group B, respectively, with significant difference （P 〈0.05）. Com- pared with group A, group B turned out with less blood lost, shorter operation duration hospital stay （P 〈 0.01 ）. Conclusions： Mini-PCNL is a safe and effective option for renal staghorn calculi. It is the preferrable method to choose in surgical treatment for renal staghorn calculi.

关 键 词：微创经皮肾镜取石术 肾铸型结石 开放手术 

分 类 号：R699[医药卫生—泌尿科学]