中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
21期
3-5
,共3页
标准通道%微通道%肾结石%经皮肾镜取石术
標準通道%微通道%腎結石%經皮腎鏡取石術
표준통도%미통도%신결석%경피신경취석술
Standard channel%Microchannel%Kidney calculi%Percutaneous nephrolithotomy lithotomy
目的：探讨经皮肾镜取石术治疗肾结石的标准通道和微通道治疗的临床效果和不同点。方法：选取2008年11月-2011年7月本院科室收治的肾结石患者100例，随机分为普通组和对比组，各50例，普通组实施标准通道经皮肾镜取石（SPCNL），对比组实施微通道经皮肾镜取石（MPCNL）；对比两组的手术时间、术中出血量、结石清除率以及手术并发症。结果：SPCNL相比MPCNL的手术时间更短、术中出血量更少，差异有统计学意义（P<0.05）；普通组和对比组在一次结石和单发结石上的清除率两者相近，比较差异无统计学意义（P>0.05）；在鹿角结石和多发结石中，对比组的结石清除率明显低于普通组，比较差异有统计学意义（P<0.05）；普通组和对比组分别出现了术后出血等不良并发症，但是两组发生率对比差异无统计学意义（P>0.05）。结论：SPCNL和MPCNL治疗肾结石效果较好，但两者各有优劣，应依据实际情况选择合适方式。
目的：探討經皮腎鏡取石術治療腎結石的標準通道和微通道治療的臨床效果和不同點。方法：選取2008年11月-2011年7月本院科室收治的腎結石患者100例，隨機分為普通組和對比組，各50例，普通組實施標準通道經皮腎鏡取石（SPCNL），對比組實施微通道經皮腎鏡取石（MPCNL）；對比兩組的手術時間、術中齣血量、結石清除率以及手術併髮癥。結果：SPCNL相比MPCNL的手術時間更短、術中齣血量更少，差異有統計學意義（P<0.05）；普通組和對比組在一次結石和單髮結石上的清除率兩者相近，比較差異無統計學意義（P>0.05）；在鹿角結石和多髮結石中，對比組的結石清除率明顯低于普通組，比較差異有統計學意義（P<0.05）；普通組和對比組分彆齣現瞭術後齣血等不良併髮癥，但是兩組髮生率對比差異無統計學意義（P>0.05）。結論：SPCNL和MPCNL治療腎結石效果較好，但兩者各有優劣，應依據實際情況選擇閤適方式。
목적：탐토경피신경취석술치료신결석적표준통도화미통도치료적림상효과화불동점。방법：선취2008년11월-2011년7월본원과실수치적신결석환자100례，수궤분위보통조화대비조，각50례，보통조실시표준통도경피신경취석（SPCNL），대비조실시미통도경피신경취석（MPCNL）；대비량조적수술시간、술중출혈량、결석청제솔이급수술병발증。결과：SPCNL상비MPCNL적수술시간경단、술중출혈량경소，차이유통계학의의（P<0.05）；보통조화대비조재일차결석화단발결석상적청제솔량자상근，비교차이무통계학의의（P>0.05）；재록각결석화다발결석중，대비조적결석청제솔명현저우보통조，비교차이유통계학의의（P<0.05）；보통조화대비조분별출현료술후출혈등불량병발증，단시량조발생솔대비차이무통계학의의（P>0.05）。결론：SPCNL화MPCNL치료신결석효과교호，단량자각유우렬，응의거실제정황선택합괄방식。
Objective:To investigate the clinical effect and different points of treatment between standard channel and micro channel percutaneous nephrolithotomy in treatment of renal calculi.Method:From November 2008 to July 2011,100 renal calculi patients in our hospital department,were randomly divided into two groups.The normal group had 50 cases and the contrast group had 50 cases,the normal group was treated with standard channel percutaneous nephrolithotomy(SPCNL),the contrast group was treated with the microchannel percutaneous nephrolithotomy(MPCNL);comparison of operation time of the two group,the amount of bleeding during the operation,stone clearance rate and complications of operation.Result:The amount of bleeding compared to SPCNL operation time and intraoperative MPCNL was lower,the differences were statistical significance(P<0.05);the normal group compared with contrast group in a single stone and stone clearance rate were almost the same,with statistical significance(P>0.05), between staghorn calculus and multiple stones in the contrast group,the stone-free rate was lower than that of the normal group,the difference was statistically significant(P<0.05);the normal group and the contrast group were experienced postoperative hemorrhage complication,but the difference was not statistically significant in incidence of contrast(P>0.05).Conclusion:SPCNL and MPCNL in the treatment of renal calculi both have good effect,but both have their pros and cons,should be based on the actual situation choose suitable ways.
