微创经皮肾镜取石术治疗肾下盏结石的疗效观察

Observation of the Curative effect of Minimally Invasive Percutaneousnephrolithotomy in the Treatment of Lower Renal Calyceal Calculi

目的探讨微创经皮肾镜取石术（m PCNL）治疗肾下盏结石的临床疗效及安全性。方法收集2013年2月至2014年6月我院收治的肾下盏结石108例患者资料,将患者完全随机分为对照组和观察组,各54例。观察组患者给予m PCNL治疗,对照组患者根据临床资料一对一选取体外冲击波碎石术（ESWL）治疗。观察并比较两组患者的疗效与并发症情况。结果观察组患者的腰部不适消失率、患者满意率均明显高于对照组,且结石残留率、并发症发生率均明显低于对照组,差异均有统计学意义（均P〈0.05）。结论在严格掌握适应证的前提下,与ESWL比较,对最大直径1.0-2.0 cm肾下盏结石,m PCNL治疗结石清除率更高,并有助于缓解患者肾区不适、血尿等症状,改善患者生活质量,且安全可靠。

Objective To explore the minimaly invasive percutaneous nephrolithotomy（MPCNL）clinical efficacy and safety of the treatment of renal calculi under the lamp.Methods From 2013 February to 2014 June in our hospital of lower calyceal calculi 108 patients,were randomly divided into control group and observation group,54 cases in each.The patients in the observation group were treated with MPCNL,control group patients according to clinical data for a selection of extracorporeal shock wave lithotripsy（ESWL）treatment.To observe the therapeutic effect and complications were compared between the two groups of patients.Results In the observation group,waist discomfort disappeared rate,the satisfactory rate of the patients were significantly higher than that of the control group,and the residual stone rate,complication rates were significantly lower than those in the control group,the difference was statisticaly significant（P〈0.05）.Conclusion In the premise of strictly mastered indication,compared with ESWL,the maximum diameter of 1-2 cm lower calyceal stones,stone clearance rate was higher in mPCNL treatment,and helps relieve kidney area patient discomfort,hematuria, improve the life quality of patients,safe and reliable.