经皮肾镜下气压弹道碎石与超声碎石术治疗感染性肾结石的效果及对并发症的影响

摘要

目的：探讨经皮肾镜下气压弹道碎石术与超声碎石术治疗感染性肾结石的临床疗效及安全性分析。方法选取我院2012年5月～2015年5月收治的感染性肾结石患者共72例，按照入院时间顺序随机分为对照组与观察组。对照组患者接受经皮肾镜下气压弹道碎石术，观察组患者接受经皮肾镜下超声碎石术，比较两组患者手术情况、手术并发症发生率、术后结石清除率。结果观察组手术时间、术中出血量均明显少于对照组，差异有统计学意义（P＜0.05）。观察组并发症发生率为8.1%，明显低于对照组，差异有统计学意义（P＜0.05）。观察组结石清除率为94.6%，明显高于对照组，差异有统计学意义（P＜0.05）。结论对感染性肾结石患者实施经皮肾镜下超声碎石术可以有效清除感染性肾结石，减少并发症的发生率，安全易实施，值得临床借鉴。%Objective To explore the clinical efficacy and safety of pneumatic lithotripsy and ultrasonic lithotripsy in the treatment of infected renal calculi. Methods A total of 72 patients with renal calculi treated in our hospital from May 2015 to May 2012 were randomly divided into control group and observation group.Patients in control group received percutaneous renal lithotripsy under percutaneous renal mirror,and patients in the observation group were treated with percutaneous renal ultrasound lithotripsy.The operation duration,bleeding volume,postoperative complications,postoperative stone clearance rate were compared between the two groups. Results The operation time and blood loss of the observation group were significantly less than those of the control group,the difference was statistically significant(P<0.05).The complication rate of observation group was 8.1%, which was significantly lower than that of control group,the difference was statistically significant(P<0.05).The stone clearance rate of the observation group was 94.6%,significantly higher than the control group,the difference was statistically significant (P < 0.05). Conclusion The patients with infectious renal calculi implementation via percutaneous nephroscope ultrasonic lithotripsy can effectively remove renal infection stones,reduce the complication incidence,safty and easy to implement,it is worth for clinical use.