CAJ | 학술논문

目的:比较微创经皮肾镜取石术(mPCNL)双通道取石和单通道两期取石治疗复杂性肾结石的疗效和安全性.方法:对57例复杂性结石患者,31例行双通道一期取石(双通道组),26例行单通道两期取石(单通道组).结果:双通道组术中出血75～262.5 ml,平均146.4 ml;单通道组75～300 ml,平均154.3 ml,差异无统计学意义.双通道组手术时间65～136 min,平均88.4 min;单通道组70～180 min,平均123.1 min,差异有统计学意义(P<0.05).双通道组净石率为83.9%(26/31);单通道组为57.8%(15/26),差异有统计学意义(P<0.05).结论:经双通道取石较单通道两期取石手术时间短,结石取净率高,患者住院时间短,治疗费用低,是治疗复杂性肾结石的一种理想方法.
목적:비교미창경피신경취석술(mPCNL)쌍통도취석화단통도량기취석치료복잡성신결석적료효화안전성.방법:대57례복잡성결석환자,31례행쌍통도일기취석(쌍통도조),26례행단통도량기취석(단통도조).결과:쌍통도조술중출혈75～262.5 ml,평균146.4 ml;단통도조75～300 ml,평균154.3 ml,차이무통계학의의.쌍통도조수술시간65～136 min,평균88.4 min;단통도조70～180 min,평균123.1 min,차이유통계학의의(P<0.05).쌍통도조정석솔위83.9%(26/31);단통도조위57.8%(15/26),차이유통계학의의(P<0.05).결론:경쌍통도취석교단통도량기취석수술시간단,결석취정솔고,환자주원시간단,치료비용저,시치료복잡성신결석적일충이상방법.
Objective:To investigate the effect and safety of the hi-channel in one-stage of minimally invasive pereutaneous nephrolithotomy (mPCNL) in management of complicated renal calculi, compared with single chan-nel in two-stage of mPCNL. Methods: 57 patients underwent mPCNL in treatment of complicated renal calculi were retrospectively reviewed. 31 eases in group A underwent bi-channel in one-stage of mPCNL;26 eases in group B underwent single channel in two-stage of mPCNL. Results= The mean bleeding in the group A was 146. 4 m1(75-262.5 ml), compared with the group B 154.3 ml(75-300 ml), there was no statistically difference between the two groups (P>0.05). The mean operation time in the group A was 88. 4 rain(65-136 min), compared with the group B 123.1 min(70-180 min), there was statistically difference between them(P<0.05). Compared of the clearance rate of stone in the group A 83.9 % (26/31) and B 57.8% (15/26), there was statistically difference be-tween them (P<0.05). Conclusions:According the treatment of complicated renal calculi, the bi-ehannel in one-stage of mPCNL has shorter operation time, higher clearanee rate of stone, compared with single channel in two-stage of mPCNL. The patients need less expenses and shorter time staying in hospital. It is an ideal method.