经皮肾镜碎石术治疗复杂性肾结石的效果  

Effect of percutaneous nephrolithotripsy in the treatment of complex renal calculi

作　　者：李华强[1] 陈少娜[1] 康永胜[1] 唐云峰[1] 宋东霞[1] LI Hua-qiang;CHEN Shao-na;KANG Yong-sheng;TANG Yun-feng;SONG Dong-xia(Department of Urology Surgery,Lianjiang People′s Hospital,Guangdong Province,Lianjiang524400,China)

机构地区：[1]广东省廉江市人民医院泌尿外科,广东廉江524400

出　　处：《中国当代医药》2021年第3期112-114,共3页China Modern Medicine

基　　金：广东省湛江市科技计划项目(2019B01138)。

摘　　要：目的探讨经皮肾镜碎石术(PCNL)治疗复杂性肾结石的效果。方法回顾性分析2017年10月~2019年10月广东省廉江市人民医院收治的64例复杂性肾结石患者的临床资料,根据治疗术式的不同将其分为对照组与观察组,每组各32例。对照组患者采用开放手术治疗,观察组患者采用PCNL治疗。比较两组患者的临床指标(手术时间、术中出血量、肾造瘘留管时间)、结石清除率、结石复发率与血肌酐(SCr)水平。结果观察组患者的手术时间、肾造瘘留管时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组患者的结石清除率高于对照组,结石复发率低于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者的SCr水平均低于治疗前,观察组患者的SCr水平低于对照组,差异有统计学意义(P<0.05)。结论应用PCNL治疗复杂性肾结石患者,不仅手术用时短、术中出血量少,还可提高结石清除率,有效改善患者的肾功能,并减少结石的复发。Objective To explore the effect of percutaneous nephrolithotripsy(PCNL)in the treatment of complex renal calculi.Methods The clinical data of 64 patients with complex renal calculi who were admitted to Lianjiang People′s Hospital in Guangdong Province from October 2017 to October 2019 were retrospectively analyzed and divided into the control group and the observation group according to different treatment methods,with 32 cases in each group.The control group was treated with open surgery and the observation group was treated with PCNL.The clinical indicators(operative time,intraoperative blood loss,renal fistula catheter retention time),stone clearance rate,stone recurrence rate and serum creatinine(SCr)levels in the two groups were compared.Results The operative time and renal fistula catheter retention time of the observation group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).The stone clearance rate of the observation group was higher than that of the control group,the stone recurrence rate was lower than that of the control group,and the differences were statistically significant(P<0.05).After treatment,the SCr levels in both groups were lower than those before treatment,the SCr level in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of PCNL in the treatment of patients with complex renal calculi can not only shorten the operation time and reduce intraoperative blood loss,but also improve the stone clearance rate,effectively improve renal function and reduce the recurrence of stones.

关 键 词：经皮肾镜碎石术 复杂性肾结石 结石清除率 

分 类 号：R692.4[医药卫生—泌尿科学]