经皮肾镜双导管碎石清石术治疗复杂性肾结石的疗效及安全性分析

Efficacy and safety analysis of percutaneous nephroscope with double catheter rubble gravel surgery in treatment of complex renal calculi

目的 探讨经皮肾镜双导管碎石清石术治疗复杂性肾结石的疗效及安全性。方法 选取2011年11月~2015年10月我院256例复杂性肾结石患者,随机分为研究组和对照组,各128例。对照组使用钬激光碎石术治疗,研究组使用经皮肾镜双导管碎石清石术治疗。使用SF-36量表评价生活质量,比较两组的手术时间、术中用水量、术中出血量、住院时间、并发症发生率、结石取净率及生活质量水平的差异。结果 研究组手术时间、术后住院时间比对照组短（P〈0.05）,研究组术中用水量、出血量分别为（19.16±3.57）L、（67.81±11.57）m L,对照组分别为（24.54±4.08）L、（80.09±12.52）m L,研究组均比对照组少（P〈0.05）;两组结石取净率、并发症发生率比较差异无统计学意义（P〉0.05）;研究组SF-36各维度评分较对照组优（P〈0.05）。结论 经皮肾镜双导管碎石清石术治疗复杂性肾结石效果好,患者出血少,结石取净率高,并发症少,能有效提高患者生活质量。

Objective To explore the efficacy and safety analysis of percutaneous nephroscope with double catheter rubble gravel surgery in treatment of complex renal calculi. Methods 256 cases of patients with complex renal calculi cured in our hospital from November 2011 to October 2015 were selected and randomly divided into study group ancl control group with 128 cases in each. Patients in control group were treated with holmium laser lithntripsy, and patients in study group were treated with percutaneous nephroscope with double catheter rubble gravel surgery. SF-36 scale was used to evaluate the quality of life. Operation time, amount of water used during operation, amount of bleeding during operation, length of stay, incidence of complications, rate of stone and the level of quality of life of the two groups were compared. Results Operation time and postoperative hospital stay of study group were shorter than those of control group （P 〈 0.05）.Amount of water used during operation and amount of bleeding during operation of study group respectively were（19.16 ± 3.57）L,（67.81 ± 11.57）mL,which were less than those of control group with （24.54 ±4.08）L,（80.09± 12.52） mL.There were no significant differences in the rate of stone and the incidence of complications between the two groups（P 〈0.05）.SF-36 each dimension scores of study group were better than those of control group （P〈0.05）. Conclusion The effect of percutaneous nephroscope with double catheter rubble gravel surgery in treatment of complex renal calculi is good. Bleeding of patient is less.Stone net rate is higher. It can effectively improve the quality of life of patients.