皮肾镜取石术治疗特殊类型肾结石

Treatment of special renal calculi with percutaneous nephrolithotomy

目的:评价经皮肾镜取石术治疗特殊类型肾结石的临床疗效。方法:2007年5月～2012年2月,采用经皮肾镜取石术治疗121例特殊类型肾结石患者,随机分为两组:A组59例,应用钬激光碎石;B组62例应用气压弹道联合超声碎石,比较两组间手术时间、术中失血量、残石率等指标。结果:经皮肾镜气压弹道联合超声碎石术组较钬激光碎石术组手术时间明显缩短,术中失血量明显减少,残石率明显降低,两组指标比较有统计学意义(P<0.01)。结论:经皮肾镜气压弹道联合超声碎石清石术治疗特殊类型肾结石安全、高效,并可同时处理合并症,值得临床推广。

Objective To evaluate the clinical efficacy of special renal calculi during percutaneous nephrolitthotripsy.Methods From May 2007 to February 2012,121 patients of special renal calculi with percutaneous nephrolitthotripsy were randomly into two group: A group 59 cases with Holmium laser,B group 62 cases with combining pneumatic and ultrasonic power.Clinical data was analyzed retrospectively.Results Compared with the average time for whole surgery,blood loss,the stone clearance rate.There was significant difference between two group.Conclusions The combined application of pneumatic and ultrasonic power in PCNL appears to be efficacious and safe for special renal calculi.