经皮肾镜、微创经皮肾取石术治疗肾结石的效果分析

目的探讨针对肾结石患者,采用经皮肾镜（percutaneous nephrolithtomy,PCNL）和微创经皮肾取石术（minimally invasive percutaneous nephrolithotomy,MPCNL）完成治疗后患者的临床效果表现。方法选取湘潭县人民医院2010年12月～2012年12月肾结石患者150例,利用随机数表法将所有患者平均分成2组,A1组（观察组n=75）与A2组（对照组n=75）;针对A2组患者采用PCNL进行治疗,针对A1组患者采用MPCNL进行治疗。对比2组肾结石患者完成手术后的诸多表现。结果对比2组患者手术过程中的出血量发现,存在显著差异（P〈0.05）。对比2组肾结石患者结石清除率发现,A1组患者高于A2组患者显著（P〈0.05）。结论针对肾结石患者,采用MPCNL进行治疗,对患者手术的时间较短,患者在术后不会出现严重的不良反应,对肾结石的清除率较高,临床应用意义极其显著。

Objective To study the patients with kidney stones, using percutaneous nephroscope （PCNL） and minimally invasive percutaneous renal nephrolithotomy （MPCNL） to complete the patient＇s clinical effect after treatment. Methods Selected from December 2010 to December 2012 150 cases of patients with renal stones, using the method of stochastic indicator will all the patients into two groups, group A 1 （observation group, 75 cases） and A 2 group （control group,75 cases）;For A 2 group of patients treated by PCNL, in view of A 1 group of patients treated by MPCNL. Compared to two groups of patients with kidney stones after surgery was performed on many of the performance. Results In the process of two groups of patients with blood loss and comparison, there were significant differences （P〈0.05）. Two groups of patients with kidney stone calculus clearance and comparison, A 1 group of patients was higher than A 2 group of patients significantly （P〈0.05）. Conclusion Patients with kidney stones treated by MPCNL and the operation time is shorter. Patients with no serious adverse reactions of postoperative of kidney stone clearance rate is higher and have extremely remarkable clinical significance.