经皮肾镜与微创经皮肾取石术治疗肾结石的效果对比分析

摘要

Objective To analyze and compare the curative effects of percutaneous nephrolithotomy and minimally invasive percutaneous nephrolithotomy in treatment for kidney stones.Methods In our hospital from January 2008 to January 2012,45 cases treated with PCNL surgery and 48 cases with MPCNL surgery were selected.The complications and stone clearance rate of assessment,observation of the indicators were all compared in both groups.Results In PCNL group,the staghorn calculi was removed by 49.0％,pure pelvis stone clearance cleared by 90.1％,calyceal calculus cleared by 62.3％.While in MPCNL group,staghorn calculi removed by 60.8％,pure pelvis stone by 61.1％ and 89.2％ of calyceal stones cleared.After comparing antlers-shaped stone clearance rate,pure pelvis stone clearance rate,and calyceal stones clearance rate in two groups,statistical significant difference was found (P＜0.05).Conclusion PCNL method is good for the treatment of large renal pelvis stones,the MPCNL method is suitable for the treatment of small renal pelvis and calyceal stones.%目的 对比经皮肾镜和微创经皮肾取石术治疗肾结石的效果.方法 选取本院2008年1月至2012年1月期间行PCNL术的患者45例和行MPCNL术的患者48例.观察两组患者各项指标及并发症发生情况、结石清除率.结果 PCNL组鹿角形结石清除49.0％,单纯肾盂结石清除90.1％,肾盏多发结石清除62.3％; MPCNL组鹿角形结石清除60.8％,单纯肾盂结石清除61.1％,肾盏多发结石清除89.2％.两组鹿角形结石清除率、单纯肾盂结石清除率、肾盏多发结石清除率对比,差异有显著性(P＜0.05).结论 PCNL术适合治疗较大的肾盂结石,MPCNL术适合治疗较小的肾盂和肾盏结石.