两种方法对部分性鹿角形肾结石治疗效果的比较

Comparison of the effect of percutaneous nephrolithotomy and opening operation for part antlers kidney stone

目的探讨经皮肾取石术(PCNL)与开放手术对部分性鹿角形肾结石治疗的安全性和有效性。方法 对部分性鹿角形肾结石患者采用PCNL与开放手术各30例,将两组治疗效果进行比较。结果 对于部分性鹿角形结石,采用PCNL较开放手术手术操作时间、出血量、肾功能损害程度少;残石率、结石复发率、并发症发生率较低;而住院费用较高,两组比较差异具有统计学意义(P<0.05)。结论 对于部分性鹿角形结石PCNL和开放手术都能达到较好的治疗效果。采用PCNL治疗具有安全、有效、创伤小、结石清除率高、并发症少、肾功能损害程度小、结石复发率低等特点,PCNL可作为治疗部分性鹿角形结石首选治疗方法,值得临床推广和应用。

Objective To investigate the safety and effectivity of percutaneous nephrolithotomy（PCNL）and open operation in treating part antlers kidney stone.Methods 60 cases with part antlers kidney stone were randomly divided into two groups,received respectively the percutaneous nephrolithotomy（PCNL）and open operation,and the operation effectivity was analyzed.Results The operation time,hemorrhage volume and renal function lesion level of percutaneous nephrolithotomy group were lower than those of open operation group,and there was significant difference（P0.05）.And the rate of incomplete kidney stone,relapse rate of kidney stone,incidence rate of complication of percutaneous nephrolithotomy group were lower than those of open operation group,and there was significant difference（P0.05）.And the costs of percutaneous nephrolithotomy group were more than those of open operation group,and there was significant difference（P0.05）.Conclusion The characteristic of PCNL is safe,effective,less wound,higher clearance of stone,less complication,little kidney function lesion,lower relapse rate and so on,so PCNL can be regarded as the prefer therapeutic method of part antlers kidney stone and it is worth of applying and spreading in clinic.