微创经皮肾取石术治疗无积水肾结石临床研究

摘要

Objective To research clinical effect of minimally invasive percutaneous nephrolithotomy in treatment of non-nephredema renal stone.Methods80 patients with non-nephredema renal stone who were admitted to our hospital from August 2012 to August 2015 were retrospectively analyzed and they were allocated to the control group and the observation group according to treatment methods,with 40 in each.The control group was received traditional open nephrolithotomy while the observation group was received minimally invasive percutaneous nephrolithotomy.Operation conditions and complications of patients in two groups were observed.ResultsOperation time, bleeding volume, indwelling time of building fistula and hospitalization stay of the observation group were all better than those of the control group. The difference had statistical significance(P<0.05).Incidences of complications of the observation group and the control group were 22.5% and 5.0% respectively.Incidences of complications of the observation group was significantly lower and the difference had statistical significance(P<0.05). ConclusionMinimally invasive percutaneous nephrolithotomy in treatment of non-nephredema renal stone has significant curative effect,short operation time and little bleeding volume.In addition, patients have short recovery and few complications,worthy of clinical promotion and application.%目的：研究无积水肾结石患者采用微创经皮肾镜取石术的临床效果。方法回顾性分析80例我院2012年8月～2014年8月期间收治的无积水肾结石患者，按治疗方法不同将患者分为两组各40例。其中40例患者采用传统开放式手术取石作为对照组，另40例患者采用经皮肾镜取石作为观察组。观察两组患者手术情况及并发症情况。结果观察组手术时间、出血量、造瘘留置时间以及住院时间均优于对照组，差异有统计学意义（P＜0.05）；对照组、观察组并发症发生率分别为22.5%、5.0%，观察组发生率明显较低，差异有统计学意义（P＜0.05）。结论无积水肾结石患者采用微创经皮肾镜取石术治疗效果显著，手术时间短，出血量低，患者恢复快，并发症少，值得临床应用及推广。