两种经皮肾镜手术联合治疗巨大鹿角形肾结石临床观察  

Two kinds of percutaneous nephroscope joint treatment of huge staghorn shape kidney stone surgery clinical observation

作　　者：何国志 

机构地区：[1]广西柳江县人民医院外一科,广西柳州545100

出　　处：《中国医学前沿杂志（电子版）》2014年第7期90-92,共3页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的研究微创经皮肾镜手术与新型经皮肾镜手术联合治疗巨大鹿角形肾结石的效果。方法将108例巨大鹿角形肾结石患者随机分为试验组与对照组,每组各54例。试验组患者采用微创经皮肾镜手术与新型经皮肾镜手术联合治疗,对照组患者采用普通微创经皮肾镜手术进行治疗。结果试验组患者一次取石38例,二次取石12例,三次取石2例,取石成功率为96.2%;对照组患者一次取石21例,二次取石17例,三次取石6例,取石成功率为81.4%。在出血量、手术时间和术后并发症方面,试验组与对照组比较差异具有显著性(P=0.0362<0.05)。结论通过两种经皮肾镜手术联合治疗巨大鹿角形肾结石效果理想,患者康复率高,不良反应少,值得临床推广。Objective To study the minimally invasive percutaneous nephroscope surgery with new percutaneous nephroscope surgery for the treatment of huge staghorn shape kidney stones. Method 108 cases of patients with huge staghorn kidney stone were randomly divided into experimental group and control group, 54 cases in each group. The experimental group adopted two kinds of percutaneous nephroscope surgery combined treatment, the control group using common minimally invasive percutaneous nephroscope surgical treatment. Result The experimental group of 54 cases with a lithotomy 38 cases, secondary lithotomy 12 cases, three times removed in 2 cases, stone-free rate was 96.2%, control group of 54 patients took stone 21 cases at a time, a second stone, 17 cases, three stone 6 cases, stone-free rate was 81.4%. In terms of the bleeding, operation time and postoperative complications, the experimental group with statistical processing of the control group（P = 0.0362 0.05） for the difference was statistically significant. Conclusion Through two kinds of percutaneous nephroscope joint surgery treatment of huge staghorn kidney stones effect is very ideal, patients recovery rate is high, very few adverse reactions, worthy of clinical promotion.

关 键 词：经皮肾镜手术 巨大鹿角形肾结石 联合应用 

分 类 号：R699[医药卫生—泌尿科学]