多通道微创经皮肾镜取石术治疗复杂性肾结石的临床效果  

Observation of clinical effect of multichannel minimally invasive percutaneous nephrolithotomy in the treatment of complex nephrolithiasis

作　　者：白立刚[1] 张润芳[1] 

机构地区：[1]内蒙古医科大学附属医院泌尿外科,内蒙古呼和浩特010050

出　　处：《中国医药导报》2014年第34期31-33,42,共4页China Medical Herald

基　　金：内蒙古自治区自然科学基金项目(编号2013MS1199)

摘　　要：目的观察多通道微创经皮肾镜取石术治疗复杂性肾结石的临床效果。方法选取2013年2月-2014年2月内蒙古医科大学附属医院诊治的复杂性肾结石患者116例的临床资料,按照术式分为两组,58例患者行传统开放术为对照组,58例患者行多通道微创经皮肾镜取石术为研究组,比较两组患者手术有效性指标、结石清除和辅助治疗情况、SCL-90评分及术后并发症发生率。结果研究组患者手术有效性指标（手术用时、住院用时、术中出血量）情况优于对照组,研究组患者一期及二期肾结石清除率（分别为72.41%、89.66%）高于对照组（50.00%、68.97%）,且辅助治疗率（20.39%）低于对照组（46.55%）,差异均有统计学意义（P〈0.05）;研究组治疗后SCL-90评分低于对照组,术后并发症发生率（12.07%）低于对照组（32.76%）,差异均有统计学意义（P〈0.05）。结论多通道微创经皮肾镜取石术治疗复杂性肾结石患者的临床疗效显著,利于患者身体早日康复,且未发生严重并发症。Objective To observe the clinical effect of multichannel minimally invasive percutaneous nephrolithotomy in the treatment of complex nephrolithiasis. Methods From February 2013 to February 2014, in the Affiliated Hospital of Inner Mongolia Medical University, the clinical data of 116 patiens with complex nephrolithiasis were selected and divided into two groups, according to the method of surgery. 58 cases given the traditional open surgery were as the control group, 58 cases given the multichannel minimally invasive percutaneous nephrolithotomy were as the research group. The operational effectiveness index, stone removal and adjuvant therapy, SCL-90 scores and the incidence of postoperative complications of the two groups were compared. Results The operational effectiveness indexes（surgery time, hospitalization time, intraoperative blood loss） of research group were better than those of control group, kidney stones clearance rate of patients at the 1st and 2nd stage（72.41%, 89.66%） were higher than those of the control group（50.00%, 68.97%）, the auxiliary treatment rate in the research group（20.39%）was less than that in the control group（46.55%）, the differences were statistically significant（P〈0.05）. SCL-90 scores, the occurrence rate of postoperation complication in the research group（12.07%） was lower than those in the control group（32.76%）, the difference was statistically significant（P〈0.05）. Conclusion Multichannel minimally invasive percutaneous nephrolithotomy in the treatment of complex nephrolithiasis has apparently clinical effect, not only contributing to recuperating patients＇ health ahead of time but also avoiding the incidence of serious complications.

关 键 词：多通道微创经皮肾镜取石术 传统开放术 复杂性肾结石 

分 类 号：R692.4[医药卫生—泌尿科学]