经皮肾微造瘘输尿管镜弹道碎石取石术(mPCNL)治疗复杂性肾结石43例临床分析

The Clinical Analysis of Percutaneous Nephrolithotomy (mPCNL) for 43 Cases Complicated Renal Calculi Patients

目的研究经皮肾微造瘘输尿管镜弹道碎石取石术治疗复杂性肾结石43例的临床疗效。方法选择从2010年5月至2012年5月于我院就诊的86例复杂肾结石患者,随机分为实验组和对照组两组,每组各43例。对照组采用开放性手术进行治疗,实验组采用经皮肾微造瘘输尿管镜弹道碎石取石术进行治疗。分别记录两组患者的手术时间、术中出血量、住院时间以及住院费用,分析比较两组患者术后尿漏、术后大出血等并发症的发生情况。结果实验组患者的术中出血量、住院天数明显低于对照组,差异具有统计学意义(P<0.05);实验组患者的住院费用与对照组无显著性差异(P>0.05)。实验组术后并发症发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论经皮肾微造瘘输尿管镜弹道碎石取石术治疗复杂性肾结石安全、可靠且术后并发症少,明显优于常规开放性手术。

Objective To study the clinical analysis of Percutaneous Nephrolithotomy （PCNL） for 43 cases complicated renal calculi patients.Methods 86 patients with complicated renal calculi from May 2010 to May 2012,were randomly divided into experimental and control groups,43 patients in each group. The control group were treated with open surgery, the experimental group were treated with Percutaneous Nephrolithotomy （PCNL）.The operative time, blood loss, hospital stay, and hospitalization costs compare postoperative urinary leakage, postoperative bleeding complications were recorded. Results The results of blood loss, length of hospital stay experimental group was significantly lower than the control group, the difference was statistically significant （P〈0.05）.Hospital costs of the control group of patients in the experimental group was no significant difference （P〉0.05）. The incidence of postoperative complications experimental group was significantly lower than the control group, the difference was statistically significant （P〈0.05）. Conclusions Percutaneous Nephrolithotomy （mPCNL） in the treatment of complicated renal calculi is safety, reliability and fewer complications,significantl y better than conventional open surgery.