彩色超声引导下微创经皮肾穿刺取石术治疗孤立肾肾结石中的临床应用

Clinical Application of Minimally Invasive Percutaneous Renal Biopsy Guided by Color Ultrasound in Treatment of Solitary Kidney Calculi

目的 探讨彩色超声引导在微创经皮肾穿刺取石术治疗孤立肾肾结石中的临床应用。方法 选择2013年3月-2015年12月在我院进行肾结石治疗的42例患者的临床资料进行回顾分析。观察组21例采用彩色超声引导下的微创经皮肾穿刺取石术治疗,对照组21例采用传统的开放性取石术。比较两组的术中出血量,术后取净率及术后并发症。结果 观察组术中出血量显著少于对照组,差异有显著统计学意义（t=11.404,P〈0.01）。观察组术后并发症发生率低于对照组（χ^2=7.130,P〈0.01）,两组取净率比较差异无统计学意义（χ^2=1.390,P〉0.05）。结论 彩色超声引导在微创经皮肾穿刺取石术治疗孤立肾肾结石创伤小,术中出血量少,取净率与传统开放手术相似。

Objective To discuss the clinical application of minimally invasive percutaneous renal biopsy guided by color ultrasound in treatment of solitary kidney calculi. Methods Clinical data of 42 cases with renal solitary kidney calculi from June 2013 to December 2015 were respectively analyzed. 21 cases of observation group was treated with minimally invasive percutaneous renal biopsy guided by color ultrasound, and 21 cases of control group was treated with traditional open access. The amount of bleeding, the rate of postoperative and postoperative complications were compared between the two groups. Results The amount of bleeding in the observation group were significantly less than those in the control group（t=11.404, P0.01）. The rate of stone removal in the observation group was no significantly higher than that in the control group χ~2=1.390, P0.05）. Complication rates of observation group was lower than control group χ~2=7.130, P0.01）. Conclusion Minimally invasive percutaneous renal biopsy guided by color ultrasound in treatment of solitary kidney calculi shows less trauma, and less blood loss during operation, with similar stone removal rate with traditional open access.