摘要
目的探讨多通道微创经皮肾镜取石术在铸型肾结石治疗中的应用价值。方法 172例肾铸型结石患者随机分为经皮肾镜取石术组和开放取石术组,分别行多通道微创经皮肾镜取石术和肾盂肾实质联合切开取石术。结果经皮肾镜取石术组平均手术时间、术中出血量、肾造瘘管留置时间及术后平均住院时间均优于开放取石术组(P<0.01),但住院费用显著高于开放取石术组(P<0.01);经皮肾镜取石术组并发症发生率为4.65%,显著低于开放取石术组的15.12%(P<0.05)。结论多通道微创经皮肾镜取石术治疗肾铸型肾结石具有手术时间短、创伤小、并发症少、术后恢复快、住院时间短等优势,一期结石清除率不低于开放手术。
Objective To explore the value of multiple-channel minimally invasive percutaneous nephrolithotomy（ MPCNL） in the treatment of proplasm renal calculus. Methods A total of172 patients with proplasm renal calculus were randomly divided into MPCNL group and open surgery group. The MPCNL group was treated with multiple-channel MPCNL and the open surgery group was treated with combined open nephrolithotomy of renal pelvis and parenchyma. Results Average surgical duration,intra-operative hemorrhage volume,retention time of nephrostomy tube and postoperative average hospital stays in the MPCNL group were significantly better than those in the open surgery group,while hospital expense was higher than the open surgery group（ P〈0. 01）. The incidence rate of complications in the MPCNL group was 4. 65%,which was significantly lower than 15. 12% in the open surgery group（ P〈0. 05）. Conclusion Multi- channel MPCNL has the advantages of shorter operation time,smaller trauma,less complications,rapid postoperative recovery and shorter hospital stay in treating proplasm renal calculus,and its removal rate of calculus in the initial surgery is no less than open surgery.
出处
《实用临床医药杂志》
CAS
2015年第3期70-72,91,共4页
Journal of Clinical Medicine in Practice
基金
中国高校医学期刊临床专项资金(11321856)
关键词
铸型肾结石
经皮肾镜
多通道微创经皮肾镜取石术
肾盂肾实质联合切开取石术
proplasm renal calculus
percutaneous nephroscopy
multiple-channel minimally invasive percutaneous nephrolithotomy
combined open nephrolithotomy of renal pelvis and parenchyma
