微创经皮肾碎石取石术治疗上尿路结石的临床疗效观察
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摘要
目的探讨上尿路结石临床治疗中微创经皮肾镜碎石取石术(MPCNL)的治疗效果与安全性。方法选取我院收治的上尿路结石患者70例,随机平均分为两组,分别行体外冲击波碎石术与MPCNL。结果观察组患者在直径15mm以上的结石相比对照组以较短的手术时间达到显著的结石清除率,但并发症发生率相比对照组升高。结论微创经皮肾镜碎石取石术相比体外冲击波碎石术,在较大结石的手术时间更短,以较短的手术时间具有显著的结石清除率,同时安全性好,尤其在直径超过15mm的结石治疗中具有较高的临床价值。
Objective To investigate therapeutic effect and safety of minimally invasive percutaneous nephrolithotomy lithotripsy(MPCNL) in clinical treatment of upper urinary tract calculi. Methods 70 cases of patients with upper urinary tract calculi in our hospital, were randomly divided into two groups, respectively, received extracorporeal shock wave lithotripsy and MPCNL. Results The patients in the control group reached a shorter operative time compared to 15 mm in diameter than the stones remarkable stone clearance rate, but the complication rate increased comparing with the control group. Conclusion Minimally invasive percutaneous nephrolithotomy lithotripsy and extracorporeal shock wave lithotripsy are compared, the larger stones has a shorter operative time, with significant stone clearance rate, while security is good, especially is of high clinical value in the stones therapy with diameter more than 15 mm.
Objective To investigate therapeutic effect and safety of minimally invasive percutaneous nephrolithotomy lithotripsy(MPCNL) in clinical treatment of upper urinary tract calculi. Methods 70 cases of patients with upper urinary tract calculi in our hospital, were randomly divided into two groups, respectively, received extracorporeal shock wave lithotripsy and MPCNL. Results The patients in the control group reached a shorter operative time compared to 15 mm in diameter than the stones remarkable stone clearance rate, but the complication rate increased comparing with the control group. Conclusion Minimally invasive percutaneous nephrolithotomy lithotripsy and extracorporeal shock wave lithotripsy are compared, the larger stones has a shorter operative time, with significant stone clearance rate, while security is good, especially is of high clinical value in the stones therapy with diameter more than 15 mm.
引文
[1]张雄,程伟,黄捷,等.微创经皮肾镜取石术治疗69例上尿路结石的临床分析[J].重庆医学,2011,40(33):3352-3353.
[2]何峰,蔡华戈,田生平.微创经皮肾镜取石术治疗上尿路结石80例临床观察[J].临床和实验医学杂志,2010,9(13):987-988.
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[4]高峰.微创经皮肾穿刺取石术治疗上尿路结石的临床疗效分析[J].中外医学研究,2013,11(21):23-24.
[5]刘大军,冯栋栋.B超引导下微创经皮肾镜取石术治疗上尿路结石效果观察[J].山东医药,2014,58(24):60-61.
[6]张伦中,许良余,陈善群,等.局麻加强化麻醉下微创经皮肾镜取石术治疗上尿路结石[J].中国微创外科杂志,2011,11(5):428-430.
[7]张鹏舒.B超定位微创经皮肾镜取石术治疗上尿路结石229例效果观察[J].海南医学,2012,23(24):55-57.
[8]阿布都吾普尔·沙塔尔,艾合买提·达吾提.B超定位下微创经皮肾镜取石术治疗小儿肾结石[J].新疆医学,2013,43(8):42-43.
[9]刘成倍,徐伟,廖春华,等.微创经皮肾镜取石术治疗上尿路结石合并感染的临床研究[J].中华医院感染学杂志,2014,24(1):162-164.
[10]殷晓蒙,周东言,沈进,等.微创经皮肾镜取石术治疗肾结石的临床研究[J].中国现代医生,2014,52(16):35-37.
[11]黄栋强.微创经皮肾穿刺取石术治疗上尿路结石效果观察[J].中外医学研究,2013,11(16):127.
[12]顾思平,毛厚平,辛军,等.开展微创经皮肾镜取石术的病例选择及治疗决策(附453例报告)[J].中国微创外科杂志,2011,11(4):325-328.
[13]刘应清,陶凌松,罗莉莉,等.微创经皮肾镜取石术治疗上尿路结石的临床应用336例报道[J].皖南医学院学报,2013,40(3):230-233.
[14]郁全胜,陈志永,崔勇,等.微创经皮肾镜取石术治疗上尿路结石68例体会[J].齐齐哈尔医学院学报,2013,34(22):3349-3350.
[15]吴刚峰,阎家骏,应向荣,等.选择性无管化微创经皮肾镜取石术治疗上尿路结石[J].中国微创外科杂志,2013,13(7):597-599.
[16]李永涛.微创经皮肾镜取石术治疗上尿路结石的临床研究[J].中国医药导刊,2011,13(6):983-984.
[17]刘成倍,徐伟,廖春华.微创经皮肾镜取石术治疗上尿路结石合并感染的临床研究[J].中华医院感染学杂志,2014,24(1):162-164.
[2]何峰,蔡华戈,田生平.微创经皮肾镜取石术治疗上尿路结石80例临床观察[J].临床和实验医学杂志,2010,9(13):987-988.
[3]刘晓峰,俞海涛.微创经皮肾镜取石术治疗上尿路结石476例临床观察[J].临床和实验医学杂志,2009,8(3):101-101.
[4]高峰.微创经皮肾穿刺取石术治疗上尿路结石的临床疗效分析[J].中外医学研究,2013,11(21):23-24.
[5]刘大军,冯栋栋.B超引导下微创经皮肾镜取石术治疗上尿路结石效果观察[J].山东医药,2014,58(24):60-61.
[6]张伦中,许良余,陈善群,等.局麻加强化麻醉下微创经皮肾镜取石术治疗上尿路结石[J].中国微创外科杂志,2011,11(5):428-430.
[7]张鹏舒.B超定位微创经皮肾镜取石术治疗上尿路结石229例效果观察[J].海南医学,2012,23(24):55-57.
[8]阿布都吾普尔·沙塔尔,艾合买提·达吾提.B超定位下微创经皮肾镜取石术治疗小儿肾结石[J].新疆医学,2013,43(8):42-43.
[9]刘成倍,徐伟,廖春华,等.微创经皮肾镜取石术治疗上尿路结石合并感染的临床研究[J].中华医院感染学杂志,2014,24(1):162-164.
[10]殷晓蒙,周东言,沈进,等.微创经皮肾镜取石术治疗肾结石的临床研究[J].中国现代医生,2014,52(16):35-37.
[11]黄栋强.微创经皮肾穿刺取石术治疗上尿路结石效果观察[J].中外医学研究,2013,11(16):127.
[12]顾思平,毛厚平,辛军,等.开展微创经皮肾镜取石术的病例选择及治疗决策(附453例报告)[J].中国微创外科杂志,2011,11(4):325-328.
[13]刘应清,陶凌松,罗莉莉,等.微创经皮肾镜取石术治疗上尿路结石的临床应用336例报道[J].皖南医学院学报,2013,40(3):230-233.
[14]郁全胜,陈志永,崔勇,等.微创经皮肾镜取石术治疗上尿路结石68例体会[J].齐齐哈尔医学院学报,2013,34(22):3349-3350.
[15]吴刚峰,阎家骏,应向荣,等.选择性无管化微创经皮肾镜取石术治疗上尿路结石[J].中国微创外科杂志,2013,13(7):597-599.
[16]李永涛.微创经皮肾镜取石术治疗上尿路结石的临床研究[J].中国医药导刊,2011,13(6):983-984.
[17]刘成倍,徐伟,廖春华.微创经皮肾镜取石术治疗上尿路结石合并感染的临床研究[J].中华医院感染学杂志,2014,24(1):162-164.