摘要
目的比较经皮肾镜碎石术(PCNL)与开放手术治疗鹿角形肾结石的有效性和安全性。方法回顾性分析我院自2003年6月至2008年12月收治120例鹿角形肾结石患者的临床资料,其中PCNL组79例,开放手术组41例,比较两种治疗手段的手术时间、术中出血量、术后住院天数、结石排净率、并发症发生率等指标。结果 PCNL组与开放手术组的手术时间、术中出血量、术后住院天数差异均有统计学意义(P<0.05),结石排净率、术后并发症发生率差异无统计学意义(P>0.05)。结论 PCNL是治疗肾鹿角型结石的一种安全有效的治疗方法。
Objective To explore the therapeutic efficacy of percutaneous nephrolithotomy（PCNL） and open surgery on management of renal staghorn calculi.Methods The clinical data of 79 cases who underwent PCNL and 41 cases who underwent open surgery were compared.Results There were no significant differences in the mean stone clearance rate and complications rates（P〉0.05）,however,significant differences were found in the mean intraoperative blood loss,the mean operation time,the mean postoperative hospital stay between the two groups（P〈0.05）.Conclusion PCNL is feasible and safe.It has advantages of minimal trauma and quick recovery compared to open surgery in treatment of renal staghorn calculi.
出处
《中华腔镜泌尿外科杂志（电子版）》
2010年第6期25-27,共3页
Chinese Journal of Endourology(Electronic Edition)
关键词
鹿角形结石
经皮肾镜碎石术
开放手术
Staghorn calculi
Percutaneous nephrolithotomy
Open surgery
