微创经皮肾镜取石术治疗孤立肾结石的临床观察  

Clinical observation of minimally invasive percutaneous nephrolithotomy in treatment of isolated kidney stones

作　　者：钱冲[1] 刘成倍[1] 王文敏[1] 徐伟[1] 

机构地区：[1]玉林市第一人民医院泌尿外科,广西玉林537000

出　　处：《现代医药卫生》2013年第11期1643-1644,共2页Journal of Modern Medicine & Health

摘　　要：目的研究并分析微创经皮肾镜取石术对孤立性肾结石的临床治疗效果。方法 2009年8月1日至2012年12月1日共收治孤立性肾结石患者286例,运用数字表法对其进行分组处理,对照组143例患者运用传统方式进行治疗;观察组143例采用微创经皮肾镜取石术的方式进行治疗,比较上述两组患者临床治疗效果。结果观察组临床治疗总有效率(94.41%,135/143)高于对照组(86.71%,124/143),差异有统计学意义(P<0.05)。结论对于孤立性肾结石患者而言,采用微创经皮肾镜取石术的方式进行治疗十分安全,其具有手术创伤小、术后并发症少、恢复快等优势,值得推广。Objective To study and analyze the clinical efficacy of minimally invasive percutaneous nephrolithotomy （MPCNL） in treating isolated kidney stones. Methods 286 patients with isolated kidney stone enrolled from August 1,2009 to December 1,2012 were divided into two groups by the digital table method. The control group（n=143） was treated by the traditional method and the observation group （n=143） was treated by minimally invasive percutaneous nephrolithotomy. The clinical effects were compared between the two groups. Results The total effective rate in the observation group was higher than that in the con- trol group （94.41%, 135/143 vs. 86.71%, 124/143）,the difference between the two groups was statistically significant （P〈0.05）. Conclusion For the patients with isolated kidney stone, adopting minimally invasive percutaneous nephrolithotomy is extremely safe with the advantages of small operative wound, few postoperative complications and rapid recovery, which is worthy of promotion.

关 键 词：肾造口术 经皮 外科手术 微创性 肾结石 外科学 治疗结果 观察 

分 类 号：R693.4[医药卫生—泌尿科学]