微通道经皮肾镜取石术治疗肾结石的临床应用分析  

The clinical analysis of microchannel percutaneous nephrolithotomy in the treatment of kidney stones

作　　者：凌峰[1] 王湘莲[2] 王书初[3] 

机构地区：[1]永州职业技术学院附属医院泌尿微创外科,湖南永州425006 [2]南华大学永州临床学院泌尿外科,湖南永州425006 [3]中南大学湘雅医院超声科,湖南长沙410008

出　　处：《中国医学工程》2014年第7期18-18,20,共2页China Medical Engineering

摘　　要：目的评价微通道经皮肾镜碎石术(MPCNL)治疗肾结石的临床疗效,寻找治疗肾结石的理想方法。方法分析微通道经皮肾镜碎石术与开放手术取肾结石各75例临床资料,依据平均手术时间、平均失血量、平均进流质时间、术后留置肾造瘘管时间、术后住院天数、结石清除率、术后感染等情况,通过统计学分析,评价其优缺点。结果 MPCNL组在手术平均时间﹑平均失血量﹑术后平均进流质时间﹑术后平均留置肾造瘘管时间﹑术后平均住院时间及术后感染发生情况均优于开放手术组,在结石清除率上高于开放手术组,差异有统计学意义(P<0.05)。结论 MPCNL安全、快速、有效,是治疗肾结石的理想方法。[ Objective ] percutaneous nephrolithotom To Evaluation the clinical efficacy of treatment of kidney stones with microchannel y（MPCNL）,and to looking for the better way to treat kidney stones. [ Methods ] The clinical data of 75 cases of kidney stones treated open surgical and microchannel percutaneous nephrolithotomy was analysised, according to the operative time, average blood loss, postoperative mean time eating the liquid, repeated nephrostomy tube indwelling time, postoperative average stay, stone clearance rate and postoperative infection cases, measured by indicators were statistically analyzed to evaluate its advantages and disadvantages. [ Results ] MPCNL group mean operative time, average blood loss, average time eating the liquid, mean postoperative indwelling nephrostomy tube time, postoperative average stay and postoperative infection cases are better than open surgery group, while in the stone clearance rate higher than the open surgery group, the difference was statistically significant （P〈0.05）. [ Conclusion ] MPCNL was safe, fast and effective,It is the better way to treat kidney stones.

关 键 词：微通道经皮肾镜取石术 肾结石 临床分析 

分 类 号：R692.4[医药卫生—泌尿科学]