微通道经皮肾镜碎石术治疗复杂性肾结石的效果观察  

作　　者：陈昆[1] 周成明[1] 陈柯宇[1] 陈新洲[1] 

机构地区：[1]什邡市人民医院,四川什邡618400

出　　处：《中国地方病防治》2014年第B08期361-361,共1页Chinese Journal of Control of Endemic Diseases

摘　　要：目的 探讨微通道经皮肾镜碎石术治疗复杂性肾结石的临床效果。方法 选取我院2011年9月份到2013年7月份我院收取的86例复杂性肾结石患者，随机分为两组，分别43例，两组患者分别采用微通道经皮肾镜碎石术（研究组）和标准通道经皮肾镜碎石术治疗（对照组），对比两组患者的手术时间、住院情况、结石清除率等。结果 研究组进行Ⅰ期手术后，有38例患者结石清除干净，清除率为88．3％。其余5倒患者手术后复查发现其仍有残石，经过ESWL治疗后残石排除。对照组患者Ⅰ期手术中有26例患者结石排除，清除率为60．4％．术后患者复查有17例患者有结石未清除干净，且进行了Ⅱ期手术，Ⅱ期术后结石清除干净。对照组患者进行手术的时间要低于研究组，术中出血量高于研究组，且对照组中有3例患者出现感染现象。结论微通道经皮肾镜碎石术治疗复杂性结石患者效果显著，安全有效，且术后无并发症，结石清除率较高，值得临床上推广使用。Objective To investigate the clinical effect of micro channel percutaneous nephrolithotomy for complex renal calculi. Methods in our hospital from 2011 September to 2013 July in our hospital for 86 cases patients with complex renal calculi, were randomly divided into two groups, respectively 43 cases, two patients were using microchannel percutaneous nephrolithotomy （Study Group） and standard percutaneous nephrolithotomy treatment （control group）, operation time, comparing the two groups of patients in hospital, stone clearance rate. Results the study group were I stage after operation, 38 patients with calculi cleared, clearance rate was 88.3%. The remaining 5 patients after operation were found still had residual stone, after ESWL treatment of residual stone removal. The control group patients with I stage operation in 26 cases of calculus removed, clearance for review after 60.4%. in 17 patients with calculi were removed. The Ⅱ stage, and Ⅱ stage operation, postoperative stone clearance. The control group was treated with the operation time must be less than the study group, the intraoperative blood loss was higher than that of the study group, and 3 in the control group patients had infection. Conclusion micro channel percutaneous nephrolithotomy lithotripsy for the treatment of complicated calculi in pa- tients with significant effect, safe and effective, and no postoperative complications, the stone free rate is high, it is worth popularizing in the clinic.

关 键 词：微通道 经皮肾镜碎石 复杂性结石 

分 类 号：R682.4[医药卫生—骨科学]