【摘要】 目的探讨彩超引导下微创经皮肾镜取石术(minimally invasive percutaneous nephrolithotomy lithotripsy,MPCNL)治疗复杂性泌尿系统结石的临床疗效。方法选择2013-01~2016-01该院收治的88例复杂性泌尿系统结石患者,依据入院单双号半随机分为两组,观察组44例患者于彩超引导下行MPCNL,对照组44例实施开放手术治疗,对比治疗后并发症情况和结石清除率。结果所有患者均手术成功,观察组并发症发生率、结石清除率、手术出血量和下床活动时间均优于对照组(P<0.05)。结论 MPCNL治疗复杂性泌尿系统结石,结石清除率高,并发症少,疗效可靠,患者恢复快,预后好,值得临床推广。更多还原

【Abstract】 Objective To investigate the clinical effect of minimally invasive percutaneous nephrolithotomy lithotripsy( MPCNL) on complicated urolithiasis under the guidance of color Doppler ultrasound. Methods 88 cases with complicated urolithiasis in our hospital were randomly divided into two groups. The observation group( n = 44)received MPCNL under the guidance of color Doppler ultrasound,and the control group( n = 44) was treated with open surgery. The complications,stone clearance rate were compared between the two groups after the treatment. Results All the patients were performed the operation successfully. The incidence of the complications and the stone clearance rate in the observation group was significantly lower than those in the control group. The bleeding volume of the observation group was significantly less than that of the control group( P < 0. 05). The time for early ambulation was significantly shorter in the observation group than that of the control group( P < 0. 05). Conclusion MPCNL is effective and reliable for complicated urolithiasis.更多还原