微创经皮肾镜取石术治疗上尿路结石的临床观察

Clinical observation of minimally invasive percutaneous nephrolithotomy treating upper urinary tract calculi

目的 探讨微创经皮肾镜取石术（PCNL）治疗上尿路结石的临床效果.方法 选取2013年1～6月来本院接受治疗的上尿路结石患者100例,将其随机分为观察组和对照组,每组各50例,对照组患者采用保守方法治疗,让患者大量饮水,按时服用金钱草及海金沙等中药,观察组患者采用微创PCNL治疗.结果 观察组患者在2个月内取石成功48例,清除率为96％,对照组2个月内取石成功28例,清除率为56％,观察组的治疗效果明显优于对照组（P＜0.05）.结论 在治疗上尿路结石疾病的方法中,微创PCNL是一种非常有效且可靠的治疗方法,值得在临床推广应用.

Objective To explore the clinical effect and methods of minimally invasive percutaneous nephrolithotomy treating upper urinary tract calculi. Methods 100 cases with upper urinary tract calculi were treated in our hospital from January to June 2013,they were selected and randomly divided into two groups,the observation group and the control group,each group of 50 cases.The observation group was treated with conservative method,in which the control group were treated with drinking lots of water and taking lysimachia chiristinae hance and lygodium japonicum.And the observation group was treated with minimally invasive percutaneous nephrolithotomy. Results For the observation group,there were 48 cases successful in two months,and the clearance rate was 96%.For the control group,there were 28 cases successful in two months,and the clearance rate was 56%.The treatment effect of the observation group was evi- dently better than that of the control group （P〈O.05）. Conclusion For the methods treating upper urinary tract calculi, minimally invasive percutaneous nephrolithotomy is an effective and reliable treatment method,which can be worthy of popularizing in clinical application.