经皮肾镜下气压弹道碎石与超声碎石术治疗感染性肾结石疗效对比  

作　　者：徐宝海[1] 

机构地区：[1]陕西省安康市中心医院泌尿外科,725000

出　　处：《浙江临床医学》2013年第5期634-636,共3页Zhejiang Clinical Medical Journal

摘　　要：目的对比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临床疗效.方法2010年1月至2012年10月就诊的68例感染性肾结石患者,按随机数字表分成观察组34例和对照组34例.观察组采用经皮肾镜下气压弹道碎石术治疗,对照组采用超声碎石术治疗.比较两组结石清除率、手术时间、住院时间以及两组术中及术后并发症.结果观察组32例尿道结石完全清除,结石清除率为94.12%;对照组有26例结石完全清除,结石清除率为79.47%,两组比较差异有统计学意义（P〈0.05）.观察组的手术时间、术中出血量和住院时间为（1.35±0.45）h、（75.3±9.9） ml和（6.5±2.1）d,对照组分别为（1.48±0.55）h、（79.3±12.6）ml和（6.3±1.8）d,两组比较,差异无统计学意义（P〉0.05）.观察组术后出现并发症2例,并发症发生率为5.88%;对照组术后出现并发症5例,并发症发生率为14.71%.两组比较差异无统计学意义（χ2=1.433,P〉0.05）.结论经皮肾镜气压弹道碎石术优于超声碎石术,是一种治疗感染性结石的损伤小、恢复快、结石清除率高的方法.Objective To compare the clinical efficacy of percutaneous nephrolithotomy lithotripsy and ultrasonic lithotripsy in the treatment of infectious kidney stones. Methods 68 patients with infectious kidney stones from January 2010 to October 2012 in our department were divided by random number table into observation group（34 cases）and control group （34 cases）. Patients in the observation group were treated with percutaneous nephrolithotomy lithotripsy and patients in the control group were treated with ultrasonic lithotripsy.Stone clearance rate,operative time,hospital stay,and intraoperative and postoperative complications in the two groups were compared. Results In the observation group,32 cases of urinary tract stones were completely cleared,stone clearance rate was 94.12%.In the control group,26 cases of stones were completely cleared,stone clearance rate was 79.47%,and there was statistically significant（P〈0.05）.Operative time,blood loss and length of hospital stay（1.35±0.45h,75.3±9.9ml and 6.5±2.1d）in the observation group were few than those in the control group（1.48±0.55 h,79.3±12.6 ml and 6.3±1.8d）,there were not statistically significant（P〉0.05）.There were two cases fo postoperative complications in the observation group,the complication rate was 5.88%.There were five cases in the control group,the complication rate was 14.71%,there were not statistically significant（χ^2= 1.433,P〉0.05）. Conclusion Percutaneous nephrolithotomy lithotripsy is better than ultrasonic lithotripsy.It is a method with minimal damage, quick recovery and high stone clearance.

关 键 词：经皮肾镜碎石术 超声碎石术 肾结石 感染 

分 类 号：R692.4[医药卫生—泌尿科学]