微创经皮肾穿刺取石术治疗孤立肾多发性结石的临床观察

Clinical Observation of Minimally Invasive Percutaneous Nephrolithotomy in the Treatment of Solitary Kidney Stone

目的:探讨微创经皮肾穿刺取石术(MPCNL)治疗孤立肾多发性结石在临床中的治疗效果;方法:选取2015年1月至2016年6月在东莞康华医院进行孤立肾多发性结石治疗的58例患者作为研究对象,将其随机分成观察组29例(MPCNL治疗)和对照组29例(开放式取石手术),对比两组的临床治疗效果;结果:经过不同的治疗后,两组在术中出血量、术后结石取净率、术后2个月结石排净率、并发症发生率等方面相比,差异均具有统计学意义(P<0.05),但在手术时间方面相比,差异无统计学意义(P>0.05);结论:MPCNL是一种新型的微创治疗方式,在手术过程中患者出血的概率小,并且结石的清除率高,对患者肾脏产生的影响较小,安全性高、实用性强。

Objective To explore the therapeutic effect of minimally invasive percutaneous nephrolithotomy in the treatment of solitary kidney stone. Method Fifty-five patients with solitary renal calculi were selected from January 2015 to June 2016 in our hospital. 29 cases （minimally invasive percutaneous nephrolithotomy） and 29 cases （open stone surgery） were randomly divided into observation group, and the clinical treatment effect was compared between the two groups. Results After two different treatments, the difference between the two groups was significant （P 〈0.05）, and the difference between the two groups was significant （P 〈0.05） But there was no significant difference in operative time （P〉 0.05）. Conclusion Minimally invasive percutaneous renal puncture lithotomy technique is a new kind of minimally invasive treatment. In the operation process, the probability of bleeding is small, and the stone clearance rate is high, the impact on the patient＇s kidney is small, the safety is high, and the practicability is strong. It can be popularized and used in clinic.