微创经皮肾镜取石术治疗鹿角形肾结石效果评价

Evaluation on minimally invasive percutaneous nephrlithoomy in treatment of staghorn calculi

目的探讨微创经皮肾镜取石术(MPCNL)治疗鹿角形肾结石临床疗效。方法将80例鹿角形肾结石患者按手术方法均分为MPCNL组和开放手术组,比较两组手术疗效和安全性。结果 MPCNL组手术时间及住院时间短于开放手术组,术中出血量、血红蛋白下降量小于开放手术组,但治疗费用高于开放手术组,组间比较差异有统计学意义(P<0.05)。MPCNL组结石排净率高于开放手术组,并发症发生率低于开放手术组,组间比较差异有统计学意义(P<0.05)。结论 MPCNL治疗鹿角形肾结石可以缩短手术时间和住院时间,减少术中出血量,但治疗费用高,适用于部分鹿角形肾结石患者。

Objective To evaluate clinical effect of minimally invasive percutaneous nephrlithoomy （MPCNL） in treatment of staghorn calculi .Methods A total of 80 patients were divided into MPCNL group and opening opera-tion group ,80 cases for each ,and surgical efficacy and safety were compared between the two groups .Results Surgi-cal time and length of stay in MPCNL group were shorter than opening operation group ,amount of blood loss and he-moglobin decreased were less than opening operation group ,but the cost of treatment was higher than opening opera-tion group （P〈0 .05） .Stones clearance rate in MPCNL group was higher than opening operation group ,and inci-dence of complications was lower than opening operation group （P〈0 .05） .Conclusion MPCNL treatment of stag-horn calculi could shorten operative time and length of stay ,reduce blood loss ,be with good efficacy ,but the cost might be high ,and could be fitted for part of patients with staghorn calculi .