开放性手术治疗肾结石与微创经皮肾穿刺取石效果分析

Analysis on effect of open operation in treatment of renal calculi with minimally invasive percutaneous nephrolithotomy

目的根据开放性手术治疗肾结石与微创经皮肾穿刺取石治疗结果分析两种治疗方法的合理性。方法选取2010年1~12月在本院使用开放性手术治疗肾结石治疗的112例患者,使用微创经皮肾穿刺取石术（MPCNL）的112例患者,对他们的治疗过程及结果进行分析。结果 224例肾结石患者中,其中112例使用开放性手术治疗肾结石,另外112例使用MPCNL治疗肾结石,MPCNL手术时间,手术中的出血量,手术后用止痛药患者数量,手术后下床活动时间及住院时间都优于开放性治疗肾结石（P〈0.05）。结论使用开放性手术治疗肾结石创伤大,出血多,结石不易清除干净,更会影响患者的生活和工作。而MPCNL治疗结石的手术具有伤口小,创伤小,出血少,术后恢复快等优势。所以,MPCNL相较于开放性手术治疗肾结石,是应该被优先考虑的。

Objective To analyze the rationality of two treatment methods according to the open operation for treatment of renal calculi with minimally invasive percutaneous nephrolithotomy treatment outcome. Methods Between January 2010 and December 2010, chose the use of open operation for treatment of renal calculi treated 112 patients, used minimally invasive percutaneous nephrolithotomy （ MPCNL ） in 112 patients, analyzed on their treatment process and results. Results All 224 cases of patients with kidney stones, including 112 cases of the use of open operation for treatment of renal calculi, and another 112 patients used MPCNL for the treatment of kidney stones, MPCNL operation time, the amount of bleeding in the operation, amount of patients using analgesics after the operation, bed activity time and hospital stay were superior to those of open treatment of kidney stones （P 0.05）. Conclusion The use of open operation for treatment of renal calculi trauma, bleeding, stone also clean is not easy, but will also affect the patient＇s life and work. And MPCNL treatment of stone operation has small wound, less trauma, less bleeding, rapid postoperative recovery and other advantages. So, MPCNL compared with open operation in treatment of renal calculi, should be preferred.