摘要
目的探讨提高复杂性肾结石临床疗效的方法。方法对2003年2月至2004年12月间收治的52例复杂性肾结石患者,采用B超引导下经皮肾镜(percutaneousnephrolithotomy,PCNL)联合碎石、清石系统进行治疗,并设定为实验组;前期采用经皮微造瘘气压弹道碎石治疗34例肾结石患者设定为对照组,将两组临床疗效进行比较。结果实验组手术时间(67±28)min,术中出血量(84±53)mL,结石残留率为5.8%;对照组手术时间(105±36)min,术中出血量(76±47)mL,结石残留率为17.6%。两组术中出血量无明显差异(P>0.05),手术时间、结石残留实验组明显低于对照组(P<0.05)。结论B超引导下经皮肾镜联合碎石、清石系统治疗复杂性肾结石具有碎石效率高,结石残留少等优点,大大提高了治疗效果,具有推广价值。
Objective To evaluate the clinical effect of endoscopics therapy in the treatment of complicated kidney calculi. Methods From February 2003 to December 2004, fifty-two patients with complicated renal calculi underwent PCNL as the test group, thirty-four patients underwent mini-URL as the control group. Clinical effects of the two groups were compared. Results The operation time of the test group was 67±28 min, the intra-operation bleeding volume was 84±53 mL, and the rate of remaining calculi was 5.8%. However, the operating time of the control group was 105±36 min, the intraoperation bleeding volume was 76±47 mL, and the rate of remaining calculi was 17.6%. The intra-operation bleeding volume had no significant differences between the two groups （P〈0.05）, but the operation time and rate of remaining calculi of the test group were obviously lower than that of the control group （P〈0.05）. Oonclusion PCNL combined pneumatic and ultrasound lithotripsy in treating complicated renal calculi under ultrasound guidance appears to be effective, with high rate of stone fragmenting and few calculus remaining. The treatment can be widely used in clinical practice.
出处
《现代泌尿外科杂志》
CAS
2006年第6期341-343,共3页
Journal of Modern Urology
关键词
经皮肾穿刺取石术
碎石术
超声波引导
肾结石
percutaneous nephrolithotomy
lithotripsy
b-ultrasound
kidney calculi
