多通道微创经皮肾镜取石术治疗复杂性肾结石患者的可行性  

Feasibility of Multi-channel Minimally Invasive Percutaneous Nephrolithotomy for Complicated Renal Calculi

作　　者：郑铎[1] 田彦[1] ZHENG Duo;TIAN Yan(Songyuan Central Hospital,Songyuan Children's Hospital,Songyuan 138001,China)

机构地区：[1]松原市中心医院松原市儿童医院,吉林松原138001

出　　处：《中国医药指南》2020年第29期115-116,共2页Guide of China Medicine

摘　　要：目的探讨多通道微创经皮肾镜取石术治疗复杂性肾结石患者的可行性。方法选取2016年1月至2018年10月松原市中心医院收治的94例复杂性肾结石患者,根据不同的治疗方式将其分为观察组和对照组,各47例。观察组行多通道微创经皮肾镜取石术治疗,对照组行单通道微创经皮肾镜取石术治疗,比较两组的手术治疗效果、安全性及结石清除效果。结果观察组手术时间、住院时间、术中出血量、一期和二期术后结石清除率、辅助治疗者占比均优于对照组,差异有统计学意义(P<0.05)。结论多通道微创经皮肾镜取石术治疗复杂性肾结石患者的效果显著,安全可靠。Objective To investigate the feasibility of multi-channel minimally invasive percutaneous nephrolithotomy for the treatment of complicated renal calculi.Methods A total of 94 patients with complicated renal calculi admitted to Songyuan Central Hospital were divided into control group and observation group according to different treatment methods.The control group underwent single-channel minimally invasive percutaneous nephrolithotomy,and the observation group underwent multi-channel minimally invasive percutaneous nephrolithotomy.The surgical treatment,safety and stone removal effects of the two groups were compared.Results The observation group's operation time,hospital stay,intraoperative blood loss,first and second stage postoperative stone clearance rate,and the proportion of adjuvant therapy were better than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Multi-channel minimally invasive percutaneous nephrolithotomy for the treatment of complex renal calculi is effective and safe.

关 键 词：肾结石 微创技术 经皮肾镜取石术 结石清除效果 并发症 

分 类 号：R692.4[医药卫生—泌尿科学]