一期双通道经皮肾镜取石术治疗复杂性肾结石研究

One-stage double channel percutaneous nephrolithotomy in the treatment of complex renal calculi

目的:分析复杂性肾结石在一期双通道经皮肾镜取石术治疗下的临床效果。方法:选择于某医院接受治疗的复杂性肾结石患者80例随机分为两组(对照组与观察组),其中对照组予以单通道经皮肾镜取石术,观察组予以一期双通道经皮肾镜取石术,对比分析两组结石清除率、手术时间、住院时间、术中出血量以及术后血红蛋白下降的情况。结果:对照组的结石清除率明显低于观察组;观察组手术时间、住院时间、术中出血量、术后血红蛋白下降情况均优于对照组,差异具有统计学意义(P<0.05)。结论:对于复杂性肾结石患者而言,予用一期双通道经皮肾镜取石术的临床效果较单通道优,因而更适合作为其治疗的首选方法。

Objective：To analyze the clinical effect of double channel percutaneous nephrolithotomy in the treatment of complex renal calculi. Methods： treatment of patients with complex renal calculi in 80 cases were randomly divided into two groups （control group and observation group）, the control group was treated with single channel percutaneous nephrolithotomy, observation a double channel group was treated with percutaneous nephrolithotomy, comparative analysis of two groups of stone clearance rate, operation time, bleeding volume, postoperative hospitalization time, intraoperative hemoglobin decreased. The stone clearance rate of control group was significantly lower than the observation group; the operation time, hospitalization time, intraoperative bleeding volume, postoperative hemoglobin drop are inferior to the observation group, the differences were statistically significant （P〈 0.05）. Results：are not listed in the text of the results of all data analysis, should be concise description of the results of the study.Conclusion：for patients with complex renal calculi, the clinical effect of primary double channel percutaneous nephrolithotomy is superior to that of single channel, so it is more suitable as the preferred method for the treatment.