经肾穿刺小切口多通道碎石取石术用于治疗多发肾结石的疗效及可行性分析

摘要

Objective To investigate the efficacy and safety ofpercutaneous renopuncture multi-channel nephrolithotomy via small incision in treatment of multiple renal calculi.Methods Eighty patients with multiple renal calculi treated at the department of urology at our hospital from January 2013 to January 2015 were divided into two groups according to the surgical methods.The NPCL group was treated with conventional percutaneous nephrolithotomy and the small incision group with percutaneous renopuncture multi-channel nephrolithotomy via small incision.The efficacies were observed in both groups.Results The operation time was longer,the intraoperative bleeding volume,the recurrence rate,and the incidence of postoperative complications were lower,and the removal rate of calculi was higher in the small incision group than in the NPCL group (all P ＜ 0.05).Conclusions Percutaneous renopuncture multi-channel nephrolithotomy via small incision can increase the removal rate of calculi and decrease the incidence of postoperative complications,so it is the first choice for multiple renal calculi.%目的 探析经肾穿刺小切口多通道碎石取石术用于治疗多发肾结石的疗效及安全性.方法 选取2013年1月至2015年1月期间泌尿外科收治的80例多发肾结石患者,根据手术方法将其分为两组,NPCL组行常规经皮肾镜单通道碎石取石术,小切口组行小切口经肾穿刺多通道碎石取石术,观察两组患者手术疗效.结果 小切口组手术时间长于NPCL组、术中出血量较NPCL少,结石清除率高于NPCL组,复发率、术后并发症发生率低于NPCL组(P＜0.05).结论 小切口经肾穿刺多通道碎石取石术可提高结石清除率,降低术后并发症发生率,术后恢复快速,可作为临床治疗多发肾结石首选的手术方案之一.