经皮肾镜碎石和开放手术治疗肾结石的疗效比较

Comparison Study of Percutaneous Nephrolithotomy and Open Surgery for Nephrolithiasis

目的：比较经皮肾镜碎石和开放手术治疗肾结石的临床疗效。方法：选取2010年1月-2012年1月我院收治的104例肾结石患者，随机分为观察组（经肾镜碎石术治疗）和对照组（开放手术治疗），每组各52例。比较两组的平均手术时间、术中平均出血量、术后平均住院时间及并发症情况，术后进行随访5个月，察看结石的排净率。结果：在术中平均出血量及并发症情况，观察组明显优于对照组，差异具有显著性（P〈0.05）；在平均手术时间、平均住院时间及结石排净率方面，对照组明显优于观察组，差异具有显著性（P〈0.05）。结论：经皮肾镜碎石和开放手术治疗肾结石各有其优点，应结合患者的实际情况，采取最合适的治疗方法。

Objective： To investigate the clinic therapeutic effects of percutaneous nephrolithotomy in the treatment of nephrolithiasis ,comparing with open surgery. Methods：Select of January 2010 to January 2012, 104 cases of nephrolithiasis patients in our hospital, were randomly divided into observation group （percutaneous nephrolithotomy） and control group （open surgery）, 52 cases in each group. Comparison of two groups of the average operation time, the loss of intraoperative blood, average length of hospital stay and postoperative complications, postoperative follow-up of 5 months, examine the stone clearance rate. Results：The loss of average intraoperative blood and complication, observation group was better than control group, it was significant difference （P〈0.05）;The average operation time, average hospital stay and the stone clearance rate, observation group is obviously better than the control group, it was significant difference （P〈0.05）. Conclusion：Percutaneous nephrolithotomy and open surgery in the treatment f of nephrolithiasis each has its merits, should be combined with the actual situation of patients, adopt the most appropriate treatment.