经皮肾镜微造瘘治疗肾结石患者临床效果分析

Analysis of the Clinical Effect of Minimally Invasive Percutaneous Nephrolithotomy in the Treatment of Patients with Renal Calculi

目的探讨和分析经皮肾镜微造瘘通道来治疗肾结石的方法与临床效果。方法选取该院收治的170例肾结石患者,按照随机原则分成对照组和观察组,分别采用经皮肾取石术和微造瘘取石术,然后观察观察和对比两组患者的手术时间、肾结石清除率和并发症的发生情况。结果在不同手术治疗以后,该两组患者在手术时间和结石的清除率方面对比,差异无统计学意义(P>0.05),但对照组的并发症发生率为3.5%,明显少于观察组患者,二者并发症发生率对比,其差异有统计学意义(P<0.05)。结论对于肾结石患者,运用经皮肾取石术和经皮肾微造瘘取石术进行治疗,都能够取得较好的效果,但经皮肾微造瘘取石术并发症较经皮肾取石术高,在临床应当引起重视。

Objective To investigate and analyze the method of minimally invasive percutaneous nephrolithotomy channel for the treatment of renal calculi and its clinical effect. Methods 170 cases with renal calculi admitted in our hospital from August 2011to July 2013 were randomly divided into the control group and the observation group, treated by percutaneous nephrolithotomy and minimally invasive percutaneous nephrolithotomy, respectively. Then the operation time, renal calculi clearance rate and the incidence of complications of the two groups of patients were observed and compared. Results After the treatment of different surgeries, the differences in operation time and renal calculi clearance rate between the two groups were not statistically significant（P〉0.05）; the incidence of complications of the control group was 3.5%, significantly less than that of the observation group, the difference in the incidence of complications was statistically significant（P〈0.05）. Conclusion For patients with renal calculi, both percutaneous nephrolithotomy and minimally invasive percutaneous nephrolithotomy can achieve good results, but the incidence of complications of the latter is higher, which should be paid attention in clinical practice.