超声引导微创经皮肾镜碎石取石术治疗复杂性肾结石的临床效果  

Clinical Effect of Ultrasound-guided Minimally Invasive Percutaneous Nephrolithotomy for Complex Renal Calculi

作　　者：郑丽君 白天祥 金玉樑 杨鑫 王刚 ZHENG Li-jun;BAI Tian-xiang;JIN Yu-liang;YANG Xin;WANG Gang(Department of Urology,Haicheng Hospital of Traditional Chinese Medicine,Haicheng 114200,China)

机构地区：[1]海城市中医院泌尿科,辽宁海城114200

出　　处：《中国医药指南》2020年第16期154-155,共2页Guide of China Medicine

摘　　要：目的探析复杂性肾结石患者采取超声引导微创经皮肾镜碎石取石术治疗效果。方法根据入院单号、双号将本院2017年1月至2018年12月接收的120例复杂性肾结石患者分为两组,每组60例,对照组开展开放性肾切开取石术治疗方案,研究组则接受超声引导微创经皮肾镜碎石取石术治疗方案,统计各组治疗效果。结果在住院时间及手术时间方面,研究组均较对照组更低(P<0.05);在并发症发生率及术后结石残余率方面,研究组均低于对照组,差异有统计学意义(P<0.05)。结论复杂性肾结石疾病治疗过程中,超声引导微创经皮肾镜碎石取石术不仅可以缩短患者住院及治疗时间,同时具有良好的治疗效果,可降低术后残石率及并发症发生率。Objective To explore the therapeutic effect of minimally invasive percutaneous nephrolithotomy guided by ultrasound in patients with complex renal calculi.Methods 120 patients with complex renal calculi received in our hospital from January 2017 to December 2018 were divided into two groups according to admission number one and two.Each group had 60 cases.The control group underwent open nephrolithotomy,while the study group underwent ultrasound-guided minimally invasive percutaneous nephrolithotomy.The therapeutic effects of each group were analyzed.Results In terms of hospitalization time and operation time,the study group was lower than the control group(P<0.05);in terms of incidence of complications and residual stone rate after operation,the study group was lower than the control group(P<0.05).Conclusion Ultrasound-guided minimally invasive percutaneous nephrolithotomy can not only shorten the hospitalization and treatment time of patients with complex renal calculi,but also have a good therapeutic effect and reduce the rate of residual stones and the incidence of complications.

关 键 词：复杂性肾结石 开放性肾切开取石术 超声引导微创经皮肾镜碎石取石术 并发症 结石残留 

分 类 号：R692.4[医药卫生—泌尿科学]