多通道微创经皮肾镜取石术治疗复杂性肾结石的临床效果分析  

Clinical effect of multi-channel minimally invasive percutaneous nephrolithotomy in the treatment of complex renal calculi

作　　者：喻志勇[1] 郭亮[1] 佘春平[1] YU Zhi-Yong;GUO Liang;SHE Chun-Ping(Department of Urinary Surgery, Xishuangbanna People’s Hospital, Xishuangbanna 666100,China)

机构地区：[1]云南省西双版纳州人民医院泌尿外科,云南西双版纳666100

出　　处：《转化医学电子杂志》2018年第10期9-10,共2页E-Journal of Translational Medicine

摘　　要：目的:研究观察多通道微创经皮肾镜取石术治疗复杂性肾结石的临床效果。方法:选择2017年2月至2018年2月云南省西双版纳州人民医院收治的360例复杂性肾结石患者作为研究对象,并将所有患者随机分为传统组(n=180)与治疗组(n=180),其中传统组患者均行常规开放性手术治疗,治疗组则给予多通道微创经皮肾镜取石术治疗,观察两组患者治疗后的临床疗效。结果:治疗组患者经治疗后各项临床指标改善情况均优于传统组,且Ⅰ、Ⅱ期结石清除率较传统组更高,组间比较差异有统计学意义(P<0.05)。结论:对复杂性肾结石患者给予多通道微创经皮肾镜取石术治疗,临床治疗效果佳,能提高结石清除率,值得在临床中普及。Objective: To observe the clinical effect of multi-channel minimally invasive percutaneous nephrolithotomy (MPNL) in the treatment of complex renal calculi. Methods: A total of 360 patients with complex renal calculi admitted to Xishuangbanna People’s Hospital from February 2017 to February 2018 were randomly divided into traditional group and treatment group,with 180 cases in each group.The traditional group were treated with conventional open surgery,while the treatment group was treated with multi-channel minimally invasive percutaneous nephrolithotomy. The clinical efficacy of the two groups after treatment was observed. Results: After treatment,the improvement of clinical indicators in the treatment group was better than that in the traditional group,the clearance rate of stage Ⅰ and Ⅱstones was higher than that in the traditional group,and the difference was statistically significant (P<0.05). Conclusion: Multi-channel minimally invasive percutaneous nephrolithotomy has a good clinical effect and can improve the stone clearance rate for patients with renal calculi. It is worthy of popularizing in clinic.

关 键 词：多通道微创经皮肾镜取石术 夹闭瘤颈 复杂性肾结石 

分 类 号：R692.4[医药卫生—泌尿科学]