【摘要】 目的探讨微创经皮肾穿刺取石术(MPCNL)治疗复杂性肾结石的临床效果。方法将64例复杂性肾结石患者根据术式不同分为MPCNL组(34例)和开放性手术组(30例),比较两组治疗效果。结果 MPCNL组患者手术时间、术后下床时间、排气时间、住院时间均短于开放性手术组(P<0.01);MPCNL组一次结石清除率为73.53%,开放性手术组为73.33%,两组比较差异无统计学意义(P>0.05);MPCNL组术后发热、血尿发生率分别为23.53%、14.71%,低于开放性手术组的50.00%、36.67%,两组比较差异有统计学意义(P<0.05)。结论与开放性手术相比,MPCNL治疗复杂性肾结石一次结石清除率接近,但MPCNL具有创伤性小、手术时间短、术后恢复快、并发症发生率低等优点。更多还原

【Abstract】 Objective To investigate the clinical value of minimally invasive percutaneous nephrolithotomy( MPCNL) in the treatment of complex renal calculi. Methods The surgical treatment of 64 cases in our hospital with complex renal calculi,were divided into MPCNL group( 34 cases) and open renal stone surgery group( 30 cases),according to the actual operation procedure. Results Intraoperative blood loss,operative time,postoperative ambulation time,exhaust time,hospitalization time of MPCNL group were less than those of the open renal stone surgery group,and the difference was statistically significant( P < 0. 01). The stone-free rate of MPCNL group was 73. 53%,while it was 73. 33% of the open renal stone surgery group,the difference was not statistically significant( P >0. 05). Postoperative fever,hematuria of MPCNL group occurred in 23. 53%,14. 71%,lower than those of the open renal stone surgery group,50. 00%,36. 67%,and the difference was statistically significant( P < 0. 05). Conclusion For treatment of complicated renal calculi,the stone-free rates after primary surgery in the two group are much closer,but MPCNL has the advantages of small trauma,short operation time,rapid postoperative recovery,low incidence of complications.更多还原