摘要
目的：比较微创经皮肾镜气压弹道碎石术(MPCNL)与开放手术治疗肾结石的疗效。
方法：分析微创经皮肾镜气压弹道碎石治疗118例与开放手术治疗48例肾结石的临床资料，依据手术时间，术后平均进流质时间、术后留置肾造瘘管时间、术后住院天数、住院费用、结石清除率、手术并发症及肾功能改善情况，通过将所测指标进行统计学分析，评价其优缺点。
结果：MPCNL组与开放手术组结石清除率分别为94.92％(112／118)、85.42％(41／48)；输血例数分别为2例、14例；肾功能不全患者MPCNL术后2周肾功能恢复较开放手术组好，两组之间有统计学意义(P＜0.05)。
结论：微创经皮肾镜气压弹道碎石术(MPCNL)安全、快速、有效，是治疗肾结石的理想方法。在有条件的医院，MPCNL术可作为治疗肾结石的首选方法。
Objective: To investigate the therapeutic effects of the Minimally Invisive Percutaneous Nephrolithotomy (MPCNL) in the treatment of kidney nephrolithiasis, comparing with open surgery.
Methods: Clinical application of minimally invisive percutaneous nephrolithotomy in 118 cases and open surgery in 48 cases were analyzed.The operation time,eating fluidity food time,cost and hospital stay, the stone clearance rate, complications and the renal function progress were compared. All complications were noted.The data was performed by statistical analysis.
Results: In Minimally Invisive Percutaneous Nephrolithotomy (MPCNL) and open surgery, the stone clearance rate was 94.92% and 85.42% respectively; the cases which needed intraoperative blood transfusion were 2 and 14 cases ,respectively. Two weeks of renal function recovery of renal dysfunction cases after MPCNL is better than open surgery.There is statistic significance between them.
Conclusions: Minimally invisive percutaneous nephrolithotomy is an excellent form of treatment for kidney nephrolithiasis. It is more reliable, highly effective, rapid and safe procedure than open surgery. MPCNL should be the best one for treatment of kidney nephrolithiasis in good conditional hospital.
引文
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