微创经皮肾穿刺取石治疗小儿肾结石效果观察  

Effective observation on treating pediatric kidney stone by MPCNL

作　　者：钱程[1] 

机构地区：[1]山东省枣庄市立医院,山东枣庄277100

出　　处：《中医临床研究》2018年第23期54-55,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:通过临床调查微创经皮肾穿刺取石术(MPCNL)对于治疗小儿肾结石是否有积极意义。方法:通过临床资料,筛查出我院2009年9月-2016年6月的80例小儿肾结石患者作为研究对象。通过随机分组的方法将我院筛选出合格的80例患者分为观察组和对照组,每组均为40例。观察组采用MPCNL治疗,对照组采用开放性手术治疗,观察和对比观察组和对照组的临床疗效。结果:经手术治疗,所有患者均获得康复,观察组出血量、手术操作时间、患者术后恢复时间、术后感染率明显低于对照组,差异显著(P<0.05),两组手术的一次结石完全清除率差异不显著(P>0.05)。结论:相比较对照组,观察组治疗小儿肾结石的一次结石完全清除率差异不大,但有着总出血量低、手术操作时间短、感染率低等优点,对治疗小儿肾结石有着积极的意义。Objective:To investigate efficacy of minimally invasive percutaneous nephrolithotomy(MPCNL)on pediatric kidney stones.Methods:80 children were divided into the observation group and the control group,and 40 cases in each group.The observation group was given MPCNL,and the control group was given open surgery.Results:After surgical treatment,all patients received rehabilitation.In the observation group,blood loss,operative time,postoperative recovery time and postoperative infection were significantly lower(P<0.05).There was no significant difference in the complete clearance rate of primary stones between groups(P>0.05).Conclusion:Efficacy of MPCNL on pediatric kidney stones can decrease total blood loss,operation time and infection rate;there is a significant effect.

关 键 词：微创 经皮肾穿刺取石 小儿肾结石 

分 类 号：R692.4[医药卫生—泌尿科学]