经皮肾镜取石术治疗肾铸型结石的疗效观察  

Clinical effect of percutaneous nephrolithotomy on renal staghorn calculi

作　　者：陈柠 CHEN Ning(Department of Urology,the People′s Hospital of Pubei County,Guangxi 535000,China)

机构地区：[1]浦北县人民医院泌尿外科

出　　处：《中国临床新医学》2019年第8期902-904,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的观察经皮肾镜取石术(percutaneous nephrolithotomy,PCNL)治疗肾铸型结石的临床疗效。方法选择2014-01~2017-12该院收治的采用PCNL治疗的58例肾铸型结石患者作为PCNL组,另选取同期行开放性手术治疗的55例肾铸型结石患者作为开放手术组,比较两组手术时间、术中失血量、住院时间、肾造瘘管留置时间、Ⅰ期结石清除率、治疗费用及术后并发症发生率等。结果 PCNL组住院时间和肾造瘘管留置时间均明显短于开放手术组,但手术时间则明显长于开放手术组( P<0.05)。PCNL组术中失血量明显少于开放手术组,治疗费用明显高于开放手术组( P <0.05)。PCNL组Ⅰ期结石清除率低于开放手术组,但差异无统计学意义( P>0.05)。PCNL组术后并发症发生率明显低于开放手术组( P<0.05)。结论 PCNL治疗肾铸型结石具有术中失血量少、住院时间短及并发症发生率低等优点,且Ⅰ期结石清除率与开放手术相当。Objective To observe the clinical effect of percutaneous nephrolithotomy(PCNL) on renal staghorn calculi. Methods Fifty-eight patients with renal staghorn calculi treated with PCNL in ouRhospital from January 2014 to DecembeR2017 were selected as the PCNL group. OtheR fifty-five patients with renal staghorn calculi treated with open surgery in the same period were selected as the open surgery group. The operation time, the intraoperative blood loss, the hospitalization time, the kidney fistula indwelling time, the phase Ⅰ calculi clearance rate, the costs of treatment and the postoperative complications were compared between the two groups. Results The hospitalization time and the kidney fistula indwelling time in the PCNL group was significantly shorteRthan that in the open surgery group, but the operation time in the PCNL group was significantly longeRthan that in the open surgery group( P<0.05). The intraoperative blood loss in the PCNL group was significantly less than that in the open surgery group, but the treatment costs in the PCNL were significantly higheRthan those in the open surgery group( P<0.05). The phase Ⅰ calculi clearance rate in the PCNL group was loweRthan that in the open surgery group, but there was no significant difference between the two groups ( P>0.05). The incidence of postoperative complications in the PCNL group was significantly loweRthan that in the open surgery group( P<0.05). Conclusion PCNL has the advantages of less intraoperative blood loss, shorteR hospital stay and loweRincidence of complications foRthe treatment of renal staghorn calculi, and its phase Ⅰ calculi clearance rate is equivalent to that of open surgery.

关 键 词：经皮肾镜取石术 肾铸型结石 临床疗效 

分 类 号：R692.4[医药卫生—泌尿科学]