经皮肾镜取石术与体外冲击波碎石术治疗肾结石的效果  

Effects of percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy in the treatment of renal calculi

作　　者：汪珂[1] WANG Ke(Xi'an Gaoxin Hospital,Xi'an 710075,China)

机构地区：[1]西安高新医院,陕西西安710075

出　　处：《临床医学研究与实践》2019年第14期68-70,共3页Clinical Research and Practice

摘　　要：目的探析经皮肾镜取石术(PCNL)与体外冲击波碎石术(ESWL)治疗肾结石的效果。方法选取2015年1月至2017年12月于我院行手术治疗的肾结石患者100例,按照入院顺序将患者分为PCNL组和ESWL组,各50例。比较两组患者术后的肾绞痛情况、结石清除率、并发症发生情况及肾功能。结果 PCNL组术后肾绞痛疼痛评分明显低于ESWL组,肾绞痛消失时间明显短于ESWL组(P<0.05)。PCNL组术后S、T、O、N、E评分及总分均低于ESWL组(P<0.05)。PCNL组并发症总发生率略高于ESWL组,但差异无统计学意义(P>0.05)。两组患者术后2、12、24 h的NGAL水平均高于手术前(P<0.05);ESWL组术后72 h的NGAL水平高于手术前及PCNL组(P<0.05)。结论 PCNL治疗肾结石不仅可缓解患者的肾绞痛,改善患者的肾功能,提高结石清除率,还可减少并发症,其有效性和安全性均高于ESWL。Objective To explore the effects of percutaneous neph rolithotomy(PCNL) and extracorporeal shock wave lithotripsy(ESWL) in the treatment of renal calculi. Methods A total of 100 patients with renal calculi who underwent surgical treatment in our hospital from January 2015 to December 2017 were selected and divided into PCNL group and ESWL group according to the order of admission, with 50 cases in each group. The renal colic, stone clearance rate,complications and renal function were compared between the two groups. Results The pain score of renal colic in the PCNL group was significantly lower than that in the ESWL group, and the disappearance time of renal colic was significantly shorter than that in the ESWL group(P<0.05). Postoperative S, T, O, N, E scores and total score in the PCNL group were lower than those in the ESWL group(P<0.05). The total incidence of complications in the PCNL group was slightly higher than that in the ESWL group, but there was no significant difference(P>0.05). The levels of NGAL at 2, 12 and 24 hours after operation in the two groups were higher than those before operation(P<0.05);the level of NGAL at 72 hours after operation in the ESWL group was higher than that before operation and the PCNL group(P<0.05). Conclusion PCNL can not only relieve renal colic, improve renal function and stone clearance rate of patients with renal calculi, but also reduce complications. Its efficacy and safety are higher than ESWL.

关 键 词：肾结石 经皮肾镜取石术 体外冲击波碎石术 结石清除率 

分 类 号：R699.2[医药卫生—泌尿科学]