超声引导下经肾上盏入路行PCNL术对肾铸型结石的疗效及安全性研究

目的分析超声引导下经肾上盏入路行经皮肾镜取石术（PCNL）对肾铸型结石的治疗效果，为临床治疗提供参考。方法选取自2010#-3月至2014年12月肾铸型结石患者47例为观察对象，依照治疗方法不同分为观察组（27例）和对照组（20例），观察组患者均在超声引导下经肾上盏入路治疗，对照组患者采取体外7中击波碎石术（ESWL）治疗，分析治疗效果。结果观察组患者均成功建立经肾上盏通道，25例患者经11肋间，2例患者经12肋下，I期结石清除率为88．9％。对照组17例患者首次固定范围切割成功，经4次治疗排净结石10例，经5次治疗排净结石5例，经6农治疗排净结石4例。观察组患者平均手术时间（85．3±26．8）min明显短于对照组（129．4±34．5）min（P〈0．05）。结论在肾铸型结石的治疗中，超声引导下经肾上盏行PCNL术视野开阔、安全有效，值得推广。

Objective To analysize the eefficacy and safety of Ultrasotmd-guided road trip through the light into PCNL surgery in Mold kidney stones, and provide reference for clinical treatment. Methods 47 patients with mold kidney stones in hospital from March 2010 to December 2014 were selected,patients were divided into study group and control group accodring to treatment methods,study group patients were taken trentment of Ultrasound-guided road trip through the light into PCNL surgery, control group patients were taken trentment of Extracorporeal shock wave lithotripsy （ESWL）,efect of patients were compared. Results The observation group were successfully established by the calyx channel, 25 cases by 11 ribs, two cases by 12 ribs, I stone clearance rate was 88.9% of the control group, 17 cases of first cut success given range, 10 patients after 4 times treatment drained five cases after the 5th treatment drained four cases after six treatments drained observed mean operative time （85.3 ± 26.8） min was significantly shorter than the control group （129.4 ± 34.5） min（P〈0.05）. Conclusion In the treatment of kidney stones mold, ultrasound guided surgery of PCNL via calyx has better operative vision, and is safe and effective, making it worthy of wide application.