经皮肾镜联合输尿管软镜碎石术治疗鹿角形肾结石的临床探讨  

Clinical Study on Percutaneous Nephrolithotomy and Flexible Ureteroscopic Lithotripsy in Treatment of Renal Staghorn Calculi

作　　者：朱国辉[1] 刘威[1] 赵岩[2] 

机构地区：[1]江苏省徐州市睢宁县中医院,江苏徐州221200 [2]江苏省徐州市中心医院,江苏徐州221009

出　　处：《系统医学》2017年第16期64-66,共3页Systems Medicine

摘　　要：目的观察经皮肾镜联合输尿管软镜碎石术治疗鹿角形肾结石的临床疗效。方法抽取从2015年7月—2017年4月该院收治的30例鹿角形肾结石患者作者研究对象,随机将患者分为对照组和观察组,对照组患者进行经皮肾镜碎石术,观察组患者联合输尿管软镜碎石术,对比2组患者的临床疗效。结果术后,2组均未见严重的并发症发生。观察组患者的一期结石清除率为93.3%,明显高于对照组者的66.7%,观察组住院时间明显少于对照组(P<0.05)。结论经皮肾镜联合输尿管软镜碎石术治疗鹿角形肾结石安全有效,可明显提高一期结石清除率,缩短住院时间,值得推广。Objective To observe the clinical curative effect of percutaneous nephrolithotomy and flexible ureteroscopic lithotripsy in treatment of renal staghorn calculi. Methods 30 cases of patients with renal staghorn calculi admitted and treated in our hospital from July 2015 to April 2017 were elected as the research objects and divided into two groups,the control group were treated with Percutaneous nephrolithotomy, while the observation group were treated with percutaneous nephrolithotomy and flexible ureteroscopic lithotripsy, and the clinical curative effect was compared between the two groups. Results After surgery, there were no severe complications in the two groups, the first-stage stone clearance rate was obviously higher than that in the control group,（93.3% vs 66.7%）, and the length of stay in the observation group was obviously lower than that in the control group（P〈0.05）. Conclusion The percutaneous nephrolithotomy and flexible ureteroscopic lithotripsy in treatment of renal staghorn calculi is safe and effective, which can obviously improve the first-stage stone clearance rate and shorten the length of stay, and it is worth promotion.

关 键 词：经皮肾镜 输尿管软镜碎石术 鹿角形肾结石 临床疗效 

分 类 号：R692.4[医药卫生—泌尿科学]