摘要
目的探讨复杂性肾结石的微创治疗疗效。方法应用MPCNL、MPCNL联合ESWL治疗复杂性肾结石患者108例,随访观察其疗效和并发症,并与同期54例开放性手术患者对照。结果 MPCNL联合ESWL组治疗成功率为90.7%(49/54),MPCNL组为81.4%(44/54);MPCNL联合ESWL组术中出血(>100mL)12例,MPCNL组21例;MPCNL联合ESWL组出现并发症2例,MPCNL组6例。微创治疗组较开放性手术组治疗成功率高,并发症少。结论单用MPCNL或MPCNL联合ESWL的微创治疗方法均优于传统的开放性手术,而MPCNL联合ESWL疗法因结石清除率最高,并发症最少,在复杂性肾结石4种治疗方法中最优。
Objective To investigate the minimally invasive treatment of complex renal calculi.Methods 108 cases of complex renal calculi were treated by mini percutaneous nephrolithotripsy（MPCNL）,MPCNL with extracorporal shock wave lithotripsy（ESWL）,and compared 54 cases by the tradional operation.Results The stone eliminating rate in MPCNL with ESWL was 90.7%（49/54）,in MPCNL was 81.4%（44/54）.12 cases treated by MPCNL with ESWL and 21 cases treated by MPCNL had hemorrhage（more than 100 mL）.Complications occured in 2 cases treated by MPCNL with ESWL,and in 6 caseds treated by MPCNL.The stone eliminating rate of minimally invasive treatment was precede or same to tradional operations.Complications occuring rate was lower than tradional operation.Conclusion Minimally invasive treatment,MPCNL and MPCNL with ESWL are precede to tradional operation,MPCNL with ESWL is the best choice for complex renal calculi in four treatment methods.
出处
《中国医药科学》
2012年第5期52-53,55,共3页
China Medicine And Pharmacy
