经皮肾镜一期治疗肾盂旁囊肿合并肾结石  

One-stage Percutaneous Nephrolithotomy in Treatment of Parapelvic Cyst Complicated with Renal Calculi

作　　者：岳东民[1] 陈鑫[1] 李宇峰[1] 付剑[1] 闫宏亮[1] 李超[1] 杨辉[1] 杨卓[1] 

机构地区：[1]吉林省吉林市中心医院泌尿外科,吉林吉林132000

出　　处：《中外医疗》2015年第23期47-48,共2页China & Foreign Medical Treatment

摘　　要：目的探讨经皮肾镜一期治疗肾盂旁囊肿合并肾结石的可行性。方法整群选择61例经皮肾镜一期治疗肾盂旁囊肿合并肾结石的临床资料。随机分为两组。研究组实施经皮肾镜一期的方式进行治疗,对照组则予以常规治疗。观察术后临床效果。结果 161例手术均成功,研究组手术时间平均(112±20)min,术中无大出血,而对照组的手术时间(171±20)min长于研究组,且术中出血大出血的患者有2例(P<0.05)。2研究组术后复查无结石、囊肿残留,随访无复发,而对照组有4例复发患者(P<0.05)。3研究组不良反应发生率为3.23%,而对照组为23.33%(P<0.05)。结论经皮肾镜治疗肾盂旁囊肿合并肾结石微创、安全、高效。Objective To explore the feasibility of one-stage percutaneous nephrolithotomy in the treatment of parapelvic cyst complicated with renal calculi. Methods The clinical data of 61 patients with parapelvic cyst complicated with renal calculi who underwent one-stage percutaneous nephrolithotomy was randomly divided into study group and control group, in which one-stage percutaneous nephrolithotomy and routine therapy were performed respectively. The clinical effects were observed. Results 1 All the operations were performed successfully, but there were statistically significant differences in even operation duration and massive hemorrhage during surgery between the two groups(P<0.05), which were(112±20) min vs(171±20)min and 0 case vs 2 cases.2 There were no residual cysts and stones in reexamination, and no recurrence in follow-up in the study group, while there was 4cases of recurrences in the control group, and the differences was statistically significant(P<0.05). 3 The adverse reaction rate was 3.23% in the observation group and 23.33% in the control group(P<0.05). Conclusion Percutaneous nephrolithotomy is minimally invasive, safety and highly effective in the treatment of parapelvic cyst complicated with renal calculi.

关 键 词：经皮肾镜 肾盂旁囊肿 肾结石 

分 类 号：R699.2[医药卫生—泌尿科学]