微创经皮肾镜取石术与开放手术治疗复杂性肾结石的临床疗效观察

Clinical Efficacy of Minimally Invasive Percutaneous Nephrolithotomy Surgery and Open Surgical Treatment of Complex Renal Calculi

目的：对复杂性肾结石患者采用微创经皮肾镜取石术和开放手术进行治疗，对两种手术的临床疗效进行探讨与分析。方法从2012年1月～2014年1月我院收治的复杂性肾结石患者中抽取64例进行回顾性分析，遵循患者自愿原则，根据抽签方式随机给予其中32例患者PCNL（微创经皮肾镜取石术）治疗（A组），另32例患者采用开放手术治疗（B组）。对两组的临床疗效进行观察。结果经治疗，在手术、住院、术后下床活动等时间以及手术当中的出血量上，A组要比B组低，差异显著具有统计学意义（P＜0.05）；在并发症发生率上，A组要显著低于B组（P＜0.05）；在肾结石清除率上，两组差异不显著不具有统计学意义（P＞0.05）。结论相比开放手术治疗，PCNL有着较高的结石清除率，对患者造成的创伤小，能够加快患者的恢复速度，减少术中出血量，值得在复杂性肾结石中推广。

Objective Patients with complex renal calculi were treated by minimally invasivepercu-taneous nephrolithotomy and open operation, to research and analyze the clinical curative effect of two kinds of operation. Methods 64 patients with complex renal calculi from 2012 January to 2014 January in our hospital were extracted and retrospectively analyzed, follow the principle of voluntary patients, according to the draw, 32 patients were randomly given PCNL (minimally inva-sive percutaneous nephrolithotomy) treatment(A group), the other 32 patients were treated with by-open operation(B group). The clinical effect of the two groups were observed. Results After treat-ment, the time of surgery, hospitalization and postoperative, bleeding in group A were lower than that in group B, the difference was statistically significant (P<0.05); In the complication rate, A group was significantly lower than B group (P<0.05) inkidney stones; the removal rate of two groups, no significant difference was not statistically significant (P>0.05). Conclusion Compared with open operation treatment, PCNL has a higher stone free rate, smaller trauma, can accelerate the speed of recovery of patients, reduce the amount of bleeding, and is worthy of popularizing in complicated renal calculi.