单通道微创经皮肾镜取石术微创治疗复杂性肾结石对患者性功能影响的临床效果研究

摘要

Objectives:To study the clinical effect of single channel minimally invasive percutaneous neph-rolithotomy in minimally invasive treatment of complicated renal calculi and its effect on sexual function of patients. Methods:1 1 6 complex renal calculi patients in our hospital from January 201 2 to February 201 4 were selected and randomly divided into observation group and control group,46 cases in each group.The observation group received MPCNL treatment and the control group received open operation treatment,with 6 months of follow -up.The influ-ence and therapeutic effect of the two groups before and after the treatment were observed.Results:The results showed that (1 )in the observation group,operation time was (58.59 ±31 .79)min,amount of bleeding was (201 .66 ±22.54)ml,the time of hospitalization was (5.1 2 ±1 .29)d,the incidence of complications was (1 1 %),which were lower than these of the control group,operation time of (1 01 .32 ±27.46)min,operation hemorrhage of (408.54 ±35.1 6)ml,hospitalization time of (8.49 ±2.34)d,the incidence of complications of (21 %).The difference was statistically significant (P <0.05);(2)in the two groups,the stone clearance rate were 93.10% and 91 .38% respectively,without significant difference (P >0.05);(3)after 6 months’treatment, the differences in the erectile function,sexual satisfaction and sexual function and quality of patients and their spouses score between the two groups were statistically significant (P <0.05),but not difference in the aspect of sexuality, (P >0.05).Conclusion:MPCNL in the treatment of complicated renal calculi can shorten the operation time and discharge time,decrease intraoperative bleeding and postoperative complications,which has higher clinical value.%目的：研究单通道微创经皮肾镜取石术（MPCNL）微创治疗复杂性肾结石的临床疗效及其对患者性功能的影响。方法：选取我院2012年1月至2014年2月接受治疗的116例复杂性肾结石患者，以抽签随机分组方法分为观察组与对照组，每组各58例，观察组予以 MPCNL 治疗，对照组为开放性手术治疗，随访6个月，对比并观察两组治疗效果及治疗后对患者性功能的影响。结果：治疗结果显示：（1）观察组在手术时间（58．59±31．79）min、手术出血量（201．66±22．54）mL、住院时间（5．12±1．29）d、并发症出现率（11．00％）方面均低于对照组手术时间（101．32±27．46）min、手术出血量（408．54±35．16）mL、住院时间（8．49±2．34）d、并发症出现率（21．00％），差异有统计学意义（P ＜0．05）；（2）两组结石清除率分别为93．10％、91．38％，观察组略高但与对照组差异无统计学意义（P ＞0．05）；（3）治疗随访6个月后，观察组患者的勃起功能、患者及其配偶的性生活满意度及性功能质量评分与对照组相比，差异均具有统计学意义（P ＜0．05），但两组性欲对比无差异（P ＞0．05）。结论：在复杂性肾结石的治疗中采用 MPCNL 可缩短手术时间和住院时间，抑制术中出血以及术后并发症，具有较高的临床推广价值。