摘要
目的比较标准通道与微通道经皮肾碎石术对铸型肾结石的疗效
方法分析行微通道经皮肾碎石治疗74例和行标准通道经皮肾碎石治疗63例铸型肾结石的患者的临床资料,获取患者手术时间,一期结石清除率,术中术后是否出血,术后是否输血,术后是否有发热,术后造瘘管留置时间,住院天数等参数,将所得参数进行统计学分析,评价其优缺点。
结果微通道组与标准通道组对于铸型肾结石的一期结石清除率分别为:47.2%(35/74)和50.8%(32/63);术后发热的例数分别为:6例和4例:术后出血例数分别为:2例和4例:术后输血数分别为:1例和1例,造瘘管留置时间分别为:5.1±2.3天和5.7±3.1天住院天数分别为:9.6±3.5天和10.2+4.3天,以上数据均无统计学差异(P>0.05),手术时间上标准通道组明显优于微通道组,具有统计学意义(P<0.05)
结论在处理体积较大的铸型肾结石方面,标准通道PCNL并没有增加并发症的发病率,但极大的缩短了手术时间,比较优于微通道PCNL。对于处理盏颈狭窄,肾盏较深的结石时,微通道较标准通道而言仍然有一定的优越性。
Objective To assess and compare the curative effects of standard-tract and mini-tract in treating renal staghorn Calculi.
Methods Clinical application of mini-tract PCNL in 74 cases and in 48 cases were analyzed.The operation time, the stone clearance rate, hospitalization time, and postoperative infections were compared. All complications were noted.The data was performed by statistical analysis.
Results In mini-tract PCNL and standard tract PCNL, the stone clearance rate was 47.2%(35/74) and 50.8%(32/63) respectively(P>0,05) the postoperative bleeding cases were 2 and 4 cases;(P>0.05) The infections were 6 and 4, respectively(P>0.05);the operation time were 116±13.7 and 78±15.6(P<0.05).
Conclusions Standard-tract PCNL had the same security as mini-tract PCNL,but it greatly shortened the operating time.In treating with relatively shorter diameter and branched renal Calculi.,MPCNL still had some advantages.
引文
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