【摘要】 目的比较两种手术方法(完全无管化经皮肾镜碎石术和标准经皮肾镜碎石术)术后患者并发症发生率,探讨完全无管化经皮肾镜碎石术的安全性。方法回顾性分析上尿路结石行经皮肾镜碎石术患者60例。根据手术方法分为无管化组20例,标准组40例。观察比较两组患者术后并发症的情况。结果两组患者术后并发症如出血、感染、尿外渗、膀胱刺激症状等发生率比较,差异均无统计学意义(P>0.05)。结论在严格把握适应证的基础上,经皮肾镜碎石术后既不留置肾造瘘管也不留置双J管是安全的,能有效减少患者痛苦。完全无管化经皮肾镜碎石术值得临床进一步推广。更多还原

【Abstract】 Objective To explore the safety of totally tubeless percutaneous nephrolithotomy in the treatment of renal calculi and compare postoperative complications of totally tubeless percutaneous nephrolithotomy and standard percutaneous nephrolithotomy.Methods The clinical data of 60 cases treated by totally tubeless percutaneous nephrolithotomy and standard percutaneous nephrolithotomy,20 cases were included in totally tubeless percutaneous nephrolithotomy and 40 cases were included in standard percutaneous nephrolithotomy,its postoperative complications were analyzed retrospectively.Results There was no statistic significance between the postoperative complications such as hemorrhage,infection,urinous infiltration and bladder indisposition.conclusion Totally tubeless percutaneous nephrolithotomy is safe for the treatment of upper urinary tract calculi.It is considered as a less pain method for patients and can be generally applied but the operation indication should be chosen strictly.更多还原