标准通道与微通道经皮肾镜应用于合并肾内感染肾结石治疗的疗效观察

Efficacy Observation of Standard Channel and Micro Channel Percutaneous Nephroscope in the Treatment of Renal Calculi Combined with Kidney Infections

目的:分析标准通道经皮肾镜碎石术(SPCNL)与微通道经皮肾镜碎石术(MPCNL)应用于合并肾内感染肾结石治疗的临床疗效。方法:选择2013年6月至2014年12月我院收治的合并肾内感染的肾结石患者112例,等分为研究组与对照组,各56例,研究组患者行MPCNL治疗,对照组行SPCNL治疗,治疗结束后对比两组患者的手术情况、结石清除率及并发症发生情况。结果:研究组与对照组对比,手术情况(除冲水量外)及住院时间无差异统计学意义(P>0.05);与对照组相比,研究组术中冲水量显著增多,差异有统计学意义(P<0.05);I期碎石率:研究组69.14%,对照组82.14%,对照组显著升高,而II期碎石率显著降低,差异有统计学意义(P<0.05);两组结石残留率对比无显著差异,无统计学意义(P>0.05);总感染率:对照组12.50%,研究组37.50%,研究组显著升高,差异有统计学意义(P<0.05)。结论:相对于MPCNL,SPCNL的结石清除率更高,而且术中及术后感染率低,更宜用于合并肾内感染的肾结石患者的治疗。

Objective： To analyze the clinical effect of stand-invasive percutaneous nephrotithotomy（SPCNL） and mini-invasive percutaneous nephrolithotomy（MPCNL） in the treatment of renal calculi with kidney infections.Methods：From Jun 2013 to Dec 2014,112 patients with renal calculi in our hospital were treated with, and the control group was treated with MPCNL, and the control group was treated with SPCNL.Results：Compared with control group,there was no significant difference between the two groups（P 〉0.05）,and the difference was statistically significant （P〈0.05）,I （II）,white the control group was significantly higher than that in control group （P〈0.05）.The difference was statistically significant （P〉0.05）,and the total infection rate was 12.50% in the control group （P〈0.05）.Conelusion：Compared with MPCNL,the removal rate of SPCNL was higher, and the infection rate was lower, and it was more suitable for the treatment of renal calculi with kidney infections.