经皮肾镜取石术在复杂肾结石患者中的临床应用

Clinical application of percutaneous nephrolithotomy to patients with complicated nephrolithiasis

目的:对经皮肾镜取石术(PCNL)应用在复杂肾结石手术治疗中的效疗进行观察。方法:将60例复杂肾结石患者纳为研究对象,随机分为PCNL组和对照组各30例,PCNL组患者采用经皮肾镜取石术,对照组患者采用开放式取石术,比较两组患者的临床疗效。结果:PCNL组患者有效率为93.3%,优于对照组的80.0%,两组差异有统计学意义(P<0.05)。在结石清除率、手术时间、手术出血量及住院时间、术后复发率及术后尿路感染率亦明显低于对照组,两组对比差异有统计学意义(P<0.05)。结论:经皮肾取石术治疗复杂肾结石疗效显著,方法安全,术后并发症少。

Objective： To evaluate the effect of percutaneous nephrolithotomy（PCNL） on patients with compl- icated nephrolithiasis. Methods： 60 patients with complicated nephrolithiasis were randomized into the PCNL group and control group. PCNL group adopted PCNL, while the control group underwent open nephrolithotomy. Then the clinical effect of both groups was compared. Results： The total effective rate of PCNL group was 93.3%, higher than 80.0% in the control group, which was of statistical difference （P 〈 0.05）. The stone clearance rate, operation time, blood loss, hospital stay, postoperative recovery and postoperative urinary tract infection prevention as well were superior to those in the control group, which were of statistical significances （P 〈 0.05）. Conclusion： PCNL is effective in the treatment of patients with complicated nephrolithiasis. It has the advantages of safety and less complications.