微通道与标准通道经皮肾镜取石术治疗复杂性肾结石的比较  

Comparison of minimal and standard percutaneous nephrolithotomy in treatment of complex renal calculi

作　　者：徐久平[1] 邵明峰[1] 华和园[1] 余子强[1] 邹建安[1] 陈久发[1] 

机构地区：[1]安徽中医药大学第一附属医院泌尿外科,230031

出　　处：《蚌埠医学院学报》2013年第8期956-958,961,共4页Journal of Bengbu Medical College

摘　　要：目的:探讨微通道经皮肾镜取石术(MPCNL)与标准通道经皮肾镜取石术(PCNL)治疗复杂性肾结石的临床疗效及安全性。方法:应用MPCNL(MPCNL组)或PCNL(PCNL组)治疗的96例复杂性肾结石,其中MPCNL组51例,鹿角形结石23例,肾脏多发性结石28例;PCNL组45例,鹿角形结石21例,肾脏多发性结石24例。比较2组的手术时间、输血率、结石清除率、手术并发症发生率及术后住院时间等。结果:MPCNL组手术时间长于PCNL组(P<0.01),2组的结石清除率、输血率、手术并发症发生率和术后住院时间差异均无统计学意义(P>0.05)。结论:MPCNL与PCNL治疗复杂性肾结石均具有创伤小、碎石效果肯定、结石清除率高、术后恢复快等明显优势,两者在临床疗效和安全性方面无明显差异。Objective： To investigate the clinical efficacy and safety of minimally invasive percutaneous nephrolithotomy（MPCNL） and standard percutaneous nephrolithotomy（PCNL） in the treatment of complex renal calculi.Methods： The clinical data of 96 patients with complex renal calculi who had been treated by PCNL or MPCNL were analyzed retrospectively.Among the 51 cases in the MPCNL group,23 had staghorn calculi and 28 multiple calculi;while in the PCNL group,21 had staghorn calculi and 24 multiple calculi.The operation time,blood transfusion rate,calculus clearance rate,complications and postoperative hospital day were compared between the two groups.Results： The average operation time in the MPCNL group was significantly longer than that in the PCNL group（P 0.01）.There was no statistical difference in the calculus clearance rate,blood transfusion rate,complications or postoperative hospital day between the two groups（P 0.05）.Conclusions： Both MPCNL and PCNL have the advantages of high calculus clearance rate,quick recovery,short hospital day and few complications.The clinical efficacy and safety of MPCNL and PCNL are not significantly different.

关 键 词：肾结石 经皮肾镜取石术 微通道 标准通道 

分 类 号：R692.4[医药卫生—泌尿科学]