摘要
目的评估经皮肾镜取石术(PCNL)在处理存在开放肾切开取石病史的患者中的有效性和安全性。方法回顾性分析我院于2007年5月至2013年11月行PCNL术的患者112例,其中56例既往存在开放肾切开取石术病史的患者作为研究组,与未行开放手术的患者56例作为对照组,分析手术时间、术中失血量、一期结石清除率、术后并发症发生率、术后住院天数等的差异。结果研究组平均手术时间为(123±22)min,对照组则为(117±19)min;一期结石清除率分别为92.8%与94.6%;平均术后住院天数分别为(8±1)d与(7±1)d;术后并发症发生率分比为5.4%与3.5%。两组间均无差异(P>0.05)。而双通道建立率分别为60.8%,37.5%;平均术中出血量分别为(89±5)ml与(71±9)ml。两组间差异均有统计学意义(P<0.05)。结论 PCNL在处理有开放肾切开取石病史的肾结石患者时具有安全、高效、可靠的特点,是一线治疗手段。
Objective To evaluate the validity and safety ofpercutaneous nephrolithotomy（PCNL） for renal calculi patients with open nephrolithotomy history.Methods From May 2007 to November 2013,56 cases with open nephrolithotomy history underwent PCNL were analyzed the differences of operative time,complications,the clearance rate of stone in stage Ⅰ and postoperative hospitalization time compared with the control group in that the other 56 patients didn＇t have open nephrolithotomy history.Results Operative time,the clearance rate of stone in stage Ⅰ,postoperative hospitalization time and rate of complications was （123±22） min,（17.2±19.3） min; 92.8%,94.6%; （8±1） days,（7±1） days; and 5.4%,3.5%;respectively.No significant differences were found compared with the control group （P〉0.05）.The rate of double accesses rate was higher and the volume of blood loss was more than that in the control group （P〈0.05）.Conclusion PCNL for patients with open nephrolithotomy history could be effective and safe.
出处
《中华腔镜泌尿外科杂志（电子版）》
2014年第5期24-26,共3页
Chinese Journal of Endourology(Electronic Edition)
关键词
肾切开
经皮肾镜
肾结石
Open nephrolithotomy
Percutaneous nephrolithotomy
Renal calculi
