经皮肾镜气压弹道联合超声碎石清石系统治疗肾结石效果观察

Effect observation of percutaneous nephrolithotomy with ultrasonic and pneumatic lithotripsy in the treatment of kidney stones

目的：探讨经皮肾镜气压弹道联合超声碎石清石系统治疗肾结石的效果。方法本次研究中观察组及对照组各49例，均为2013年1～11月来我院治疗的肾结石病例。对照组采用微创经皮肾穿刺气压弹道取石术治疗，观察组采用经皮肾镜（PCNL）气压弹道超声碎石清石系统治疗，比较两组手术时间、手术中出血量、Ⅰ期结石清除率、并发症发生率、SF-36量表评分。结果观察组手术时间短于对照组，手术中出血量少于对照组，Ⅰ期结石清除率高于对照组，并发症总发生率低于对照组，差异有统计学意义（P＜0.05）。观察组手术后体力、心理健康、社会活动、躯体疼痛、身体功能、躯体角色、精力及身体健康评分高于对照组，差异有统计学意义（P＜0.05）。结论肾结石患者采用该系统治疗不仅可以使得术中出血量减少、手术时间缩短，还可以提高结石清除率及生活质量。

Objective To investigate the effect of percutaneous nephrolithotomy with ultrasonic and pneumatic lithotripsy in the treatment of kidney stones. Methods The observation group and the control group was 49 cases, the patients with kidney stone were selected from January 2013 to November 2013 in our hospital. The control group used a minimally invasive percutaneous nephrolithotomy pneumatic ballistic lithotripsy treatment, observation group used percutaneous nephrolithotomy （PCNL） with ultrasonic and pneumatic lithotripsy treatment. The operative time, blood loss volume, stone clearance rate during the I phase, complication rate, SF-36 scores of two groups were compared.Results The operative time of observation group was shorter than the control group, blood loss was less than the control group, stone clearance rate during the I phase was higher, the overall incidence of complications was lower than the control group, the difference was statistically significant（P〈0.05）. After the surgery, the physical, mental health, social activities, bodily pain, physical function, role physical, energy and physical health score in the observation group were higher than the control group, the difference was statistically significant（P〈0.05）. ConclusionPercutaneous nephrolithotomy with ultrasonic and pneumatic lithotripsy in the treatment of kidney stones not only can reduce blood loss, operation time, and can improve stone clearance rate and quality of life.