开放性手术治疗肾结石与微创经皮肾穿刺取石的疗效比较

Curative effect comparison between open operation and minimally invasive percutaneous nephrolithotripsy on renal calculus

目的对比观察开放性手术治疗肾结石与微创经皮肾穿刺取石的疗效。方法回顾性分析1997年1月～2007年10月收治的肾结石患者中取肾切开取石术32例(开放组),微创经皮肾取石术29例(微创组)的患者资料进行对比。结果微创组在手术时间,术中出血量,术后止痛药应用情况,术后恢复,发热情况及住院天数、结石清除率等明显优于开放组,比较差异有显著性。结论微创经皮肾取石术治疗结石,创伤小,操作简单,术中出血少,无重大并发症,术中结石清除率高,疗效优于开放手术。

[Objective] To investigate and compare the therapeutic effect of open operation and minimally invasive percutaneous nephrolithotripsy on renal calculus. [Methods] We retrospectively analyzed 61 cases of renal calculus patients from Jan. 1997 to Oct. 2007 in our hospital with 32 treated with open operation and 29 minimally invasive percutaneous nephrolithotripsy. [Result] The group with minirhally invasive percutaneous nephrolithotripsy has better therapeutic effect than the open operation group. [Conclusion] Minimally invasive percutaneous nephrolithotripsy （MPCNL） has the advantages as less trauma, simple procedure, less bleeding, higher clearance rate and less complications etc. MPCNL has distinctive advantage and better effect than open operation.