经皮肾镜取石术治疗体外冲击波碎石失败的肾结石的效果  

Effect of percutaneous nephrolithotomy in the treatment of kidney stones after failed extracorporeal shock wave lithotripsy

作　　者：杨玥 YANG Yue(Department of Urology,General Hospital of Tiefa Coal Industry Group,Shenyang Medical College,Liaoning Province,Diaobingshan 112700,China)

机构地区：[1]沈阳医学院附属铁法煤业集团总医院泌尿外科,辽宁调兵山112700

出　　处：《中国当代医药》2018年第16期84-86,共3页China Modern Medicine

摘　　要：目的探讨应用经皮肾镜取石术治疗体外冲击波碎石失败的肾结石的效果。方法选择我院泌尿外科2017年1~12月收治的体外冲击波碎石失败的82例肾结石患者,随机分为对照组和观察组,各41例。对照组继续行体外冲击碎石术治疗,观察组行经皮肾镜取石术治疗,比较两组的效果。结果观察组的取石时间、手术时间长于对照组,差异有统计学意义(P<0.05)。两组的住院天数比较,差异无统计学意义(P>0.05)。观察组的结石清除率为97.6%(40/41),显著高于对照组的63.4%(26/41),差异有统计学意义(P<0.05)。两组治疗后的血尿素氮(BUN)、血肌酐(Cr)水平低于治疗前,观察组治疗后的BUN、Cr水平低于对照组,差异有统计学意义(P<0.05)。观察组的并发症发生率为4.9%,显著低于对照组的19.5%,差异有统计学意义(P<0.05)。结论针对临床收治的肾结石应用体外冲击波碎石技术治疗失败的病例,采用经皮肾镜取石术治疗,具有较高的结石清除率,安全性理想,肾功能改善效果显著,值得临床推广应用。Objective To investigate the effect of percutaneous nephrolithotomy in the treatment of kidney stones after failed extracorporeal shock wave lithotripsy.Methods A total of 82 cases of kidney stones after failed extracorporeal shock wave lithotripsy who were admitted to the department of urology in our hospital from January to December in2017 were selected and randomly divided into the control group and the observation group,41 cases in each group.The control group was given extracorporeal shock wave lithotripsy treatment,and the observation group was given percutaneous nephrolithotomy.The effects was compared between the two groups.Results The stone removal time and operation time in the observation group were longer than those in the control group,with significant difference（P〈0.05）.There was no significant difference in the length of hospital stay between the two groups（P〉0.05）.The rate of stone clearance in the observation group was 97.6%（40/41）,which was significantly higher than that of 63.4%（26/41） in the control group,the difference was statistically significant（P〈0.05）.After treatment,the levels of BUN and Cr in the two groups were lower than those before treatment,and the levels of BUN and Cr in the observation group after treatment were lower than those in the control group,with significant difference（P〈0.05）.The incidence rate of complication in the observation group was 4.9%,which was significantly lower than that of 19.5% in the control group,and there was statistically significant difference（P〈0.05）.Conclusion For the cases of clinically treated kidney stones after failed extracorporeal shock wave lithotripsy,percutaneous nephrolithotomy has a higher level of stone clearance rate,the safety is ideal,and the renal function has a significant improvement effect.It is worthy of clinical promotion and application.

关 键 词：肾结石 体外冲击波碎石失败 经皮肾镜取石术 

分 类 号：R692.4[医药卫生—泌尿科学]