微通道与标准通道经皮肾镜碎石取石术治疗肾结石的疗效比较  

Comparison of micro channel percutaneous nephrolithotomy and standard channel percutaneous nephrolithotomy in the teatment of renal calculi

作　　者：赵少成[1] 孙元星[1] 胡生银[1] 张中兴[1] 卢杉[1] 边金平[1] 冯东 侯林 

机构地区：[1]山西省大同市第五人民医院泌尿外科,山西大同037000

出　　处：《中国现代医生》2016年第19期54-56,共3页China Modern Doctor

基　　金：山西省大同市科技局资助项目(201363)

摘　　要：目的 比较采用微通道与标准通道经皮肾镜碎石取石术治疗肾结石的效果和安全性。方法 选择2012年12月~2015年6月我院经皮肾镜取石术治疗的79例肾结石患者,其中采用微通道经皮肾镜碎石取石术（micro channel percutaneous nephrolithotomy,MPCNL）的43例为研究组,采用标准通道经皮肾镜碎石取石术（standard channel percutaneous nephrolithotomy,SPCNL）的36例为对照组。比较两组手术时间、结石清除率、出血量、术后恢复、术后住院时间及术后不良反应发生情况等。结果 研究组平均手术时间为（81.83±9.16）min,显著低于对照组,差异有统计学意义（P〈0.05）;研究组一次结石总清除率为88.4%,与对照组的84.6%比较,差异无统计学意义（P〉0.05）;研究组平均术后住院时间为（7.50±1.60）d,显著短于对照组的（8.80±2.70）d,差异有统计学意义（P〈0.05）;研究组术后24 h Hb下降水平为（6.95±1.83）g/L,显著低于对照组的（12.86±1.89）g/L,差异有统计学意义（P〈0.05）;研究组和对照组术后总并发症率分别为30.2%和50.0%,两组比较差异无统计学意义（P〉0.05）。结论微通道与标准通道经皮肾镜碎石取石术均疗效显著,其中微通道经皮肾镜手术创伤更小,术后住院时间短,更有临床推广价值。Objective To compare and evaluate the effect of micro channel percutaneous nephrolithotomy（MPCNL） and standard channel percutaneous nephrolithotomy（SPCNL） on kidney stone. Methods A total of 79 patients with kidney stones were treated in PCNL and divided into study group（43 cases） and control group（36 cases） from December 2012 to June 2015 in our hospital. Operation time, hemorrhage, postoperative length of stay, postoperative complications, and stones clearance rate were compared between two groups. Results The average operation time of study group [（81.83±9.16） min] was significantly lower than that in control group（P0.05）; The total stone clearance rate of study group was88.4%,which of control group was 84.6%,there were no significant differences between the two groups（P 0.05）;The postoperative hospitalization time of study group was（7.50 ±1.60） days, which was significantly shorter than control group[（8.80±2.70） days]（P0.05）; After 24 h, the decreased level of Hb of study group,was（6.95±1.83）g/L, which was significantly lower than that of control group[（12.86±1.89）g/L]（P0.05）; The total surgical complication rate of study group and control group were 30.2% and 50.0% respectively, there was no significant difference between the two groups（P 0.05）. Conclusions The curative effect of micro channel and standard channel through the percutaneous renal stone gravel take stone are all remarkable, in which the micro channel percutaneous renal surgery is less invasive, has more shorter hospital stay, and it is more clinical value.

关 键 词：微通道 标准通道 经皮肾镜 肾结石 

分 类 号：R699[医药卫生—泌尿科学]