经皮肾镜碎石与肾切开取石治疗复杂性肾结石的疗效比较

Comparison of therapeutic effects of perculaneous nephrolithotomy and open surgery on complicated renal calculi

目的比较经皮肾镜碎石与肾切开取石治疗复杂性结石的疗效。方法对我们收治的116例单侧复杂性肾结石患者进行回顾性分析，其中经皮肾镜碎石60例（观察组）、肾切开取石56例（对照组）。比较两种治疗方法的手术时间、术中出血量、术后并发症、住院时间、医疗费用、结石残留个数。结果观察组手术时间、术中出血量、术后并发症、住院时间、住院费用均比对照组少（P〈0．05），观察组术后结石残留率比对照组高（P〈0．05）。结论经皮肾镜碎石术与肾切开取石相比，具有手术时间短、出血少、创伤小、恢复快、并发症少、医疗费用低等特点，能安全有效地治疗具有良好适应证的复杂性肾结石。

Objective To compare the effects of percutaneous nephrolithotomy（PCNL）and open surgery on complicated renal calculi. Methods The clinical data of 116 cases of one side complicated re- nal calculi were evaluated retrospectively,including 60 cases of PCNL（observation group）and 56 cases of open surgery （control group）in our hospital from January 2005 to January 2011. The parameters for analysis included operative time, operative blood loss, complications, hospital stay, hospital costs and rate of residual stones. Results Operative time, operative blood loss, complications, hospital stay and hospital costs were significantly lower in the observation group （P 〈 0.05 ）, while rate of residual stones was higher in the ob- servation group （ P 〈 0.05 ）. Conclusion Compared with open surgery, PCNL has advantages of shorter operative time, less operative blood loss, fewer complications, shorter hospital stay and less hospital costs. It is a safe and effective treatment for complicated renal calculi.