摘要
目的比较、分析微创经皮肾镜取石术与开放手术治疗复杂性肾结石的临床疗效。方法选择2006年3月至2011年3月于我院接受手术治疗的82例复杂性。肾结石患者，按治疗方法分为微创经皮肾镜取石组41例和开放手术组41例。比较两组在手术时间、术中出血量、并发症发生率、术后住院时间、总治疗费用及结石清除率方面的差异。结果微创经皮肾镜取石组手术时间[（110±21）rainVS．f178±33）rainl、术中出血量[（96．25±12．34）mlVS．（176．56士11．35）m1）]、并发症发生率[12．2％（5／41）VS．29．3％（12／41）]及术后住院时间[（7．31±0．94）dVS．（13．32±2．84）d]明显少于开放手术组，总治疗费用[（12636．6±672．37）元VS．（8532．20±350．56）元]及结石清除率f80．49％（33／41）vs．65．85％（27／41）]明显高于开放手术组。结论微创经皮肾镜取石术与开放性肾切开取石术相比，尽管住院总费用稍高，却具有微创、损伤小、出血少、并发症少、结石清除率高等优点，患者恢复快，是治疗复杂性肾结石有效、安全、合理的方法，值得临床推广。
Objective To compare the clinical efficacy of mini-invasive percutaneous nephrolithotomy （MPCNL） with that of open surgery for the treatment of complex renal calculi. Mcllmda 82 patients with complex renal calculi who had undergone surgical treatment during the period of April 2005 to April 2011 were assigned to MPCNL group （41 patients） and open-surgery group （41 patients） based on the type of procedures. Surgical duration, intraoperative bleeding volume, rate of complications, postoperative length of hospital stay, total medical cost, and rate of calculi clearance were compared between the two groups. Results Surgical duration and length of hospital stay were shorter, intraoperative bleeding volume was less, rate of complications was lower, medical cost was greater, and rate of calculi clearance was higher in MPCNL group than in open-surgery group [（110 ± 21）min vs. （178 ± 33）min, （7.31 ± 0.94）days vs. （13.32 ± 2.84） days, （96.25 ± 12.34）ml vs. （176.56± 11.35）ml, 12.2% （5/41） vs. 29.3% （12/41）, （12 636.6 ± 672.37） yuans vs. （8532.20 ± 350.56） yuans, and 80.49% （33/41） vs. 65.85% （27/41）; P〈0.05]. CoaeluaionR As compared with open surgery, mini-invasive percutaneous nephrolithotomy has shorter surgical duration and postoperative hospital stay, higher rate of calculi clearance, quicker recovery, less blood loss, and fewer complications, though it has higher total medical cost. It is a safe, effective way to treat complex renal calculi.
出处
《国际医药卫生导报》
2013年第5期630-632,共3页
International Medicine and Health Guidance News
关键词
复杂性
肾结石
经皮肾镜取石术
开放手术
Complex renal calculi
Percutaneous nephrolithotomy
Open surgery
