摘要
目的:探讨应用经皮肾镜取石治疗肾下盏结石的临床疗效。方法:对51例肾下盏结石患者行经皮肾镜取石,并以同期收治的行体外冲击波碎石治疗的50例患者为对照组进行结石清除率比较。结果:观察组术后并发症发生率为19.6%,远低于对照组(72.0%,χ2=27.9,P?0.01)。随访3个月后,观察组结石清除率为76.5%,明显高于对照组(52.0%,χ2=6.59,P?0.05)。结论:对直径为1.0～2.0cm的肾下盏结石,经皮肾镜取石术结石清除率较体外冲击波碎石术高,并发症少,可作为优先选择的治疗方法。
Objective： To explore the effect of minimally invasive percutaneous nephrolithotomy （mPC- NL） for kidney lower calycal calculi. Methods： Data of 51 cases with kidney lower calycal calculi treated by minimal- ly invasive percutaneous nephrolithotomy （as the observation group） were reviewed. Compared the stone clearance of mPCNL group and 50 cases treated by extracorporeal shock-wave lithotripsy （ESWL） as the control group. Re- suits： The complication rate of the observation group was 19.6 %, lower than that of the control group, 72.0 % （x^2 = 27.9, P〈0. 01） ;the stone clearance of the observation group was 76.5 %, higher than that of the control group, 52. 0%（x^2 =6.59,P〈0.05）. Conclusion： The stone clearance of mPCNL is higher than that of ESWL; the complica- tion rate of mPCNL are lower than that of ESWL, which shall be prior to ESWL for kidney lower calycal calculi, diameter between 1.0-2.0cm.
出处
《陕西医学杂志》
CAS
2013年第5期556-557,共2页
Shaanxi Medical Journal
关键词
肾结石
治疗
肾造口术
经皮碎石术
对比研究
@肾下盏结石
Kidney calculi/therapy Nephrostomy,percutaneous Lithotripsy Comparative study @Kidney lower calycal calculi
