目的：探讨后腹腔镜肾囊肿去顶联合经皮肾穿刺碎石术治疗肾囊肿合并肾或输尿管上段结石的临床效果。方法选取该院2012年1月至2012年12月肾囊肿合并肾或输尿管上段结石患者78例为研究对象，其中采用后腹腔镜肾囊肿去顶联合经皮肾穿刺碎石术治疗的40例患者为研究组，传统开腹手术治疗的38例患者为对照组，观察两组临床治疗效果。结果研究组手术时间、术中出血量、胃肠功能恢复时间、下床活动时间、住院时间、疼痛VAS评分均明显低于对照组，差异有统计学意义（P＜0．05）；研究组结石清除率高于对照组，结石复发率低于对照组，差异有统计学意义（ P＜0．05）；研究组术后并发症发生率为10．0％，明显低于对照组的28．9％，差异有统计学意义（P＜0．05）。结论肾囊肿合并肾或输尿管上段结石患者应用后腹腔镜肾囊肿去顶联合经皮肾穿刺碎石术治疗效果明显，创伤小、出血量少，降低复发率，术后并发症少。%Objective To investigate clinical efficacy of laparoscopic renal cyst unroofing combined percutane‐ous nephrolithotomy lithotripsy treatment on patients with renal cysts and kidney stones .Methods A total of 78 pa‐tients with renal cysts and kidney or upper ureteral calculus from January 2012 to December 2012 as objects in this study .Among them ,40 patients accepted laparoscopic renal cyst unroofing combined percutaneous nephrolithotomy lithotripsy treatment were assigned into study group ,38 patients accepted traditional laparotomy operation were as‐signed into control group .The treatment efficacy were compared in the two groups .Results The operative time , blood loss ,gastrointestinal function recovery time ,ambulation time ,length of hospital stay ,pain VAS scores in the study group were significant lower than those in the control group ,the differences were statistical significant (P<0 .05) .Stone clearance rate in the study group was higher ,stone recurrence rate was lower than those in the control group ,the difference was statistical significant (P<0 .05) .Postoperative complication rate was 10 .0% in the study group ,which was significant lower than the 28 .9% in the control group ,the difference was statistical significant (P<0 .05) .Conclusion Laparoscopic renal cyst unroofing combined percutaneous nephrolithotomy lithotripsy treatment has obvious efficacy ,less trauma ,less bleeding ,better alleviate efficacy of the patient′s pain ,and could reduce the re‐lapse rate and complications ,which is worthy of clinical application .
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