经皮肾镜取石术处理肾结石的疗效及并发症观察  

Efficacy and Complications of Percutaneous Nephrolithotomy Lithotripsy in Treating Renal Calculus

作　　者：李晓明[1] 丁上书[1] 孙平[1] 邢俊平[1] 

机构地区：[1]西安交通大学医学院第一附属医院陕西泌尿外科,陕西西安710061

出　　处：《航空航天医学杂志》2015年第4期405-406,共2页Journal of Aerospace medicine

摘　　要：目的总结对比输尿管镜手术、微创经皮肾镜手术治疗肾结石的效果、术后并发症。方法将96例肾结石患者随机分为对照组(n=48)和观察组(n=48),对照组予以输尿管镜取石术治疗,观察组采用微创经皮肾镜取石术;对比两组的相关指标。结果两组的平均手术时间、平均住院时间、并发症发生率无显著性差异(P>0.05);观察组结石一次清除率显著高于对照组(P<0.05)。结论微创经皮肾镜取石术结石清除率高,并发症难以避免,应提高手术技巧、加强术后观察来防治并发症。Objective To compare efficacy and safety of ureteroscopy lithotripsy（URSL） and percutaneous nephrolithotomy lithotripsy（PCNL） in patients with renal calculus.Methods 96 cases were divided into two groups by random.The control group（n = 48） took URSL while the observation group（n = 48） took PCNL.Related indicators were compared.Results There have no significant difference of operative time,hospital staying,complication incidence between the two groups（P〉0.05）.Effect of removal of stones in the observation group was much higher than that of the control group（P〈0.05）.Conclusions Percutaneous nephrolithotomy lithotripsy had better effect of removal of stones but cannot avoid complications.Inproving techniques and enhance postoperative observation is the way to prevent complications.

关 键 词：肾结石 输尿管镜取石术 微创经皮肾镜取石术 疗效 并发症 

分 类 号：R692.4[医药卫生—泌尿科学]