微通道与标准通道经皮肾镜取石术治疗 复杂性肾结石的比较

Comparison of the micro-channel / standard channel percutaneous nephrolithotomy for complex renal calculi treatment

摘要:

目的 对比分析复杂性肾结石患者采用微通道与标准通道经皮肾镜取石术的效果和安全性。方法 120例复杂性肾结石患者随机分组，研究组和对照组各60例，研究组采用微通道经皮肾镜取石术，对照组采用标准通道经皮肾镜取石术。结果 研究组输血率和结石清除率与对照组差异无显著性（P >0.05），但术后高热发生率明显低于对照组，数据间比较差异有显著性（P <0.05）。研究组平均手术时间明显短于对照组，数据间比较差异有显著性（P <0.05）；两组术后平均住院时间差异无显著性（P >0.05）。结论 微通道经皮肾镜取石术可缩短手术时间、减轻对肾脏组织的损伤、减少术后并发症的发生，具有较好的治疗效果和安全性。

Abstract:

【Objective】 To compare and analyze efficacy and safety of treatment of complex renal calculi with the micro-channel/standard channel percutaneous nephrolithotomy surgery . 【Methods】 120 patients with complex renal calculi were randomly divided into Observation Group and Control Group, 76 cases in each group. The Observation Group received micro-channel percutaneous nephrolithotomy surgery, while the Control Group received standard channel percutaneous nephrolithotomy surgery. 【Results】 There was no statistical difference in transfusion rate and stone clearance rate between the Observation Group and Control Group (P >0.05). However, the incidence of postoperative fever in the Observation Group was significantly lower than that of the control group, thus there was a significant difference between these sets of data (P <0.05). The average operation time of the Observation Group was significantly shorter than that of the Control Group, thus there was a significant difference between these sets of data (P <0.05); There was no statistical difference in average postoperative hospital stays between the Observation Group and Control Group. 【Conclusion】 Microchannel percutaneous nephrolithotomy surgery can shorten the operation time, relief harm on kidney tissue and reduce the incidence of postoperative complications, thus it has a better therapeutic effect and safety.