经皮肾镜取石术治疗肾结石的效果观察

Effect of Percutaneous Nephrolithotomy in the Treatment of Renal Calculi

目的:评估经皮肾镜取石术(PCNL)在肾结石治疗中的应用价值,以促进该术式在肾结石治疗中的推广。方法:选择笔者所在医院于2016年1月-2019年12月收治的80例肾结石患者为研究对象。将其随机分为对照组(40例)和肾镜组(40例)。对照组予以常规开放性手术治疗,肾镜组予以PCNL治疗。比较两组临床疗效、手术时间、住院时间、并发症发生率及半年内复发率。结果:肾镜组治疗总有效率为97.50%,对照组治疗总有效率为95.00%,两组比较差异无统计学意义(P>0.05);肾镜组手术时间(50.16±7.11)min,住院时间(7.26±0.95)d,均短于对照组,差异有统计学意义(P<0.05);肾镜组并发症发生率为2.50%,低于对照组的20.00%,差异有统计学意义(P<0.05);肾镜组半年内复发率2.50%,低于对照组的17.50%,差异有统计学意义(P<0.05)。结论:PCNL治疗肾结石的效果显著,安全性良好,且有助于促进患者的康复,应加强该术式在肾结石治疗中的普及与推广。

Objective:To evaluate the application value of percutaneous nephrolithotomy(PCNL)in the treatment of renal calculi,so as to promote the application of PCNL in the treatment of renal calculi.Method:A total of 80 patients with renal calculi admitted in our hospital from January 2016 to December 2019 were selected as the research objects.They were randomly divided into the control group(40 cases)and the nephroscope group(40 cases).The control group was treated with conventional open surgery,and the nephroscope group was treated with PCNL.The clinical efficacy,operation time,hospitalization time,incidence of complications and recurrence rate within half a year were compared between the two groups.Result:The total effective rate of treatment in the nephroscope group was 97.50%,the total effective rate of treatment in the control group was 95.00%.There was no statistically significant difference between the two groups(P>0.05).The operation time(50.16±7.11)min and hospitalization time(7.26±0.95)d in the nephroscope group were shorter than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the nephroscope group was 2.50%,which was lower than 20.00%in the control group,the difference was statistically significant(P<0.05).The recurrence rate within half a year in the nephroscope group was 2.50%,which was lower than 17.50%in the control group,the difference was statistically significant(P<0.05).Conclusion:PCNL is effective and safe in the treatment of renal calculi,and it is helpful to promote the rehabilitation of patients.Therefore,the popularization and promotion of this operation in the treatment of renal calculi should be strengthened.