经皮肾镜取石术治疗肾结石的效果

Effect of percutaneous nephrolithotomy in treatment of kidney stones

目的观察经皮肾镜取石术（PCNL）治疗肾结石的临床效果。方法选取2012年5月~2014年5月河南省驻马店市第一人民医院泌尿外科收治的肾结石患者100例为研究对象,分为观察组和对照组,每组各50例。给予观察组患者PCNL治疗,对照组患者给予开放性肾切开取石及肾盏成形术治疗,观察并比较两组患者的手术时间、术中出血量、住院时间及并发症发生情况等。结果观察组患者的手术时间、住院时间[（80.3±11.2）min、（13.8±2.3）d]均明显短于对照组[（115.1±10.9）min、（19.7±7.1）d],差异均有统计学意义（P〈0.05）;术中出血量[（58.2±11.5）m L]明显少于对照组[（92.3±12.9）m L],差异有统计学意义（P〈0.05）;观察组患者的术后并发症发生率为4.0%（2/50）,明显低于对照组的36.0%（18/50）,差异有统计学意义（P〈0.05）。结论与开放性肾切开取石及肾盏成形术相比,PCNL治疗肾结石的临床效果较好,值得在临床推广。

Objective To investigate the clinical effect of percutaneous nephrolithotomy in the treatment of kidney stones. Methods 100 cases of patients with kidney stones in the First People＇s Hospital of Zhumadian City from May 2012 to May 2014 were selected as study objects, and these patients were divided into the observation group and con-trol group, with 50 cases in each group. The observation group were given percutaneous nephrolithotomy treatment, while the control group were given the openness renal calices cut stone angioplasty treatment. The time of operation, intraoperatve blood volum, hospital stays, complication occurrence rate of two groups were compared. Results The oper-ative time, length of hospital stay of the observation group [（80.3±11.2） min, （13.8±2.3） d] were significantly shorter than those of the control group [（115.1±10.9） min, （19.7±7.1） d], the differences were statistically significant （P〈0.05）;the blood loss was significantly less than that of the control group, the difference was statistically significant （P〈0.05）. The postoperative complication rate [4.0% （2/50）] of the observation group was significantly lower than that of the con-trol group [36.0%（18/50）], the difference was statistically significant （P〈0.05）. Conclusion The percutaneous nephrolitho-tomy clinical efficacy is better than open cut stone kidney and renal angioplasty light in the treatment of kidney stones, so it is worthy of promotion.