摘要
目的比较经皮肾镜取石(PCNL)和开放性手术取石治疗复杂性肾结石的效果。方法 46例复杂性肾结石患者随机分为两组,分别行经皮肾镜取石和开放性手术取石,观察术中出血量、手术时间、住院时间和术后并发症发生率,比较两组患者住院费用,观察术后3个月和6个月随访的血清肌酐变化。结果术中出血量和住院天数PCNL组明显低于开放手术组(P<0.05);住院费用PCNL组明显高于于开放手术组(P<0.05);术后3月和术后6个月血清肌酐浓度PCNL组明显低于开放手术组(P<0.05);开放手术组并发症发生率明显高于PCNL组(P<0.05)。结论 PCNL取石并发症较少,对肾脏损伤小,更适合于复杂性肾结石的治疗。
Objective to compare the effects of percutaneous nephrolithotomy（PCNL） and open surgical for complicated renal calculi.Methods 46 cases of complicated renal calculi patients were randomly divided into two groups,taking stone by percutaneous nephrolithotomy（for short,PCNL group） and open surgical（for short,open group） respectively.To observe the amount of bleeding during operation,the operation time,hospital stay,rate of postoperative complications,to compare two sets of patients in hospital cost,to observe the changes of serum creatine（SCr） by follow-up visit after operation 3 month and 6 month.Results Comparing results,the amount of bleeding during operation and hospital stay in PCNL group is lower than open group.Patients in hospital cost in PCNL group are obviously higher than open group.The changes of serum creatine（SCr） in PCNLgroup are obviously lower than open group after operation 3 month and 6 month.The rate of postoperative complications in open group is obviously higher than in PCNL group.Conclusion Taking PCNL the complications is few and also with minimal damage to the kidney.It is more suitable for complicated renal calculi.
出处
《湖北民族学院学报（医学版）》
2011年第3期27-29,共3页
Journal of Hubei Minzu University(Medical Edition)
关键词
复杂性肾结石
经皮肾镜取石
开放性手术
complicated renal calculi
percutaneous nephrolithotomy
open operation
