经皮肾镜术与开放手术治疗铸型肾结石的临床研究

Percutaneous Nephrolithotomy Surgery and Open surgery for Kidney Stones Mold Clinical Research

目的通过对经皮肾镜术与开放手术治疗铸型肾结石的效果,分析两者的临床价值。方法对我院在2013年2月—2015年5月的168例铸型肾结石患者进行回顾性分析,其中89例采用经皮肾镜术,79例采用开放手术治疗。两组在身体状况、性别、病理等情况无显著差异。结果在术中出血量、手术时间、肾造瘘管留置时间、术后住院时间等方面,经皮肾镜术均少于开放手术组(P<0.05),但在I期结石清除率开放手术组略高于经皮肾镜组(P>0.05)。经皮肾镜并发症发病率为9.02%,开放手术组并发症发生率为20.99%。结论相比于开放手术,经皮肾镜术在治疗铸型肾结石方面具有手术时间短、创伤并发症率低,恢复快、患者痛苦少等优点,但是I期结石清除率小于开放手术。

Objective Effect of percutaneous nephrolithotomy surgery and open surgery for kidney stones mold, analyze the clinical value of both. Methods The hospital in February 2013- 2015 168 cases in May casting stones were retrospectively analyzed, 89 were treated with percutaneous nephrolithotomy surgery,79 cases of the use of open surgery. There was no significant difference in physical condition, sex, pathology and so on. Results In the blood loss, operative time, nephrostomy catheter aspect, postoperative hospital stay, percutaneous nephrolithotomy surgery were less than open surgery group(P <0.05), but open surgery in stage I stone clearance rate set slightly higher than percutaneous nephrolithotomy group(P >0.05). Percutaneous nephrolithotomy incidence rate of 9.02% complication, open surgery complication rate was 20.99%.Conclusion Compared to open surgery, percutaneous nephrolithotomy surgery have shorter operative time in the treatment of kidney stones mold, wound complication rate, faster recovery, less patient pain, etc., but I stone clearance rate of less than open surgery.