多次ESWL失败的肾结石患者行PCNL治疗的效果及并发症发生情况分析  

Clinical evaluation of percutaneous nephrolithotomy in the treatment of renal stone after repeated extracorporeal shockwave lithotripsy

作　　者：敖劲松 汪波 邱承俊 

机构地区：[1]武汉江夏区第一人民医院,湖北430200

出　　处：《国际泌尿系统杂志》2015年第4期483-485,共3页International Journal of Urology and Nephrology

摘　　要：目的分析并探讨对多次体外冲击波碎石治疗失败的肾结石患者进行经皮肾镜取石手术治疗的临床效果。方法选取2010年1月～2014年12月本院收治的100例多次体外冲击波碎石失败的肾结石患者作为研究对象，按照随机分配的方式，将其分为对照组（n=50）和观察组（n=50）。对照组患者进行传统手术治疗，观察组患者进行经皮肾镜取石手术治疗。观察对比对照组患者和观察组患者的手术时间、手术过程中的出血量、住院时间、结石清除率以及并发症发生情况。结果与对照组相比，观察组患者在手术时间、术中出血量、住院时间方面差异均具有显著性（P〈0．05）。对照组患者的结石清除率为74％，观察组患者的结石清除率为92％，观察组患者的结石清除率明显高于对照组（P〈0．05）。对照组患者手术后并发症的发生率为26％，观察组患者的并发症发生率为8％，观察组患者的并发症发生情况明显优于对照组（P〈0．05）。结论对多次体外冲击波碎石失败的肾结石患者进行经皮肾镜取石手术治疗，能够有效缩短患者手术时间，减少患者手术中的出血量，加快患者的康复速度，同时还具有较高的安全性，值得被广泛应用于肾结石患者的临床治疗中。Objectives To analysis and discuss the clinical effect of percutaneous nephrolithotomy operation for the treatment of renal calculiextracorporeal shock wave lithotripsy in the treatment of multiple failures. Methods Select 100 cases of repeated extracorporeal shock wave lithotripsy failure renal calculi patients during 2010 January 2014 year December in our hospital as the research object, according to random allocation method, which can be divided into control group （ n = 50） and observation group （ n = 50 ）. The control group was treated with the traditional operation treatment, the observation group were treated with percutaneous nephrolithotomy operation treat- ment. Comparative observation of patients in the control group and the observation group of patients with operation time, amount of bleeding during operation, hospitalization time, stone clearance rate and complications. Results Compared with the control group, the observation group patients in theoperation time, amount of bleeding, hospitali- zation time were significant（ P 〈0.05）. The control group of patients with the calculi clearance rate was 74% The observation group of patients with the calculi clearance rate was 92%, the observation group of patients with calculi clearance rate was significantly higher than that in control group （ P 〈 0.05 ）. Patients in the control group after oper- ation have incidence of complications was 26%, the percentage in patients in the observation group was 8%, the in- cidence of complications of the patients in the observation group was significantly better than the control group（ P 〈 0.05）. Conclusions rot patients with kidney stones after repeated extracorporeal shockwave lithotripsy for percutaneous nephrolithotomy operationtreatment, can effectively shorten the operation time of patients, reduce the amount of bleeding in patients with operation, to speed up the recovery of patients, but also has the advantages of high safety, worthy of clinical extensive application in patients with kid

关 键 词：肾结石 碎石术 

分 类 号：R693.4[医药卫生—泌尿科学]