摘要
目的：分析不同径路经皮肾镜治疗肾上盏结石的疗效。方法：我院2013年1月-2013年12月收治72例肾上盏结石患者，采用隐匿数字随机法分为两组，A组36例患者经第11肋上缘径路治疗，B组36例患者采用传统径路，记录两组穿刺时间、一次性结石清除率、一次性穿刺成功率及并发症发生率。结果：A组平均手术时间、平均穿刺时间均短于B组，A组一期结石清除率为94．44％，B组一期结石清除率为86．11％，两组比较差异有统计学意义（P〈0．05）。A组与B组一次穿刺成功率均为100％，两组比较差异无统计学意义（P〉O．05）。A组无一例发生肺损伤和胸膜损伤等并发症，两组并发症发生率比较差异无统计学意义（P〉0．05）。结论：经第11肋上缘径路缩短了距离，有利于缩短手术时间，提高结石清除率。
Objective： To analyze the effect of percutaneous nephrolithotomy （PCNL） through different accesses in treatment of upper renal calyx calculi. Method： In our hospital from January 2013 to December 2013, 72 cases of upper renal calyx calculi were all treated with PCNL and randomly divided into two groups. Thirty-six cases in the A group were treated through eleventh costal margin approach, and 36 patients of B group were treated through the traditional approach. We recorded two groups of puncture time, one-session stone-free rate, one-session puncture success rate and the incidence of complications. Result.. In the A group, the mean operation time, average puncture time were shorter than those in the B group. One-session stone-free rate of A group was 94. 44%, and the B group was 86.11%. The differences between the two groups were significant （ P 〈0.05）. Onesession puncture success rate of group A and group B were both 100%, which there was no significant difference between the two groups （ P 〈0.05）. The A group had no complications of lung injury or injury of pleura, and it showed no significant difference between two groups （ P〈0.05）. Conclusion： PCNL through the eleventh rib edge access shortens the distance and the operation time and enhance stone-free rate.
出处
《临床泌尿外科杂志》
2015年第4期347-348,351,共3页
Journal of Clinical Urology
关键词
肾上盏结石
径路
经皮肾镜取石术
疗效
upper renal calyx calculi
access
percutaneous nephrolithotomy
curative effect
