CAJ | 학술논문

目的评价微通道经皮肾镜取石术(mPCNL)治疗上尿路开放手术后肾结石的有效性和安全性.方法选取2010年1月至2012年10月收治的189例行微通道经皮肾镜取石术的肾结石患者,分为两组,有上尿路开放手术病史25例为观察组,无上尿路手术病史164例为对照组,应用气压弹道碎石,比较手术时间、住院时间、多通道率、2次手术率、出血量、DSA率和净石率.结果所有患者手术均获成功,两组患者住院时间和2次手术率无明显统计学差异(P＞0.05),手术时间、多通道率、出血量及DSA率观察组大于对照组(P＜0.05),净石率观察组低于对照组(P＜0.05).结论微创经皮肾镜取石术是开放手术后肾结石安全有效的治疗手段,但手术难度和风险有所增加.
목적 평개미통도경피신경취석술(mPCNL)치료상뇨로개방수술후신결석적유효성화안전성.방법 선취2010년1월지2012년10월수치적189례행미통도경피신경취석술적신결석환자,분위량조,유상뇨로개방수술병사25례위관찰조,무상뇨로수술병사164례위대조조,응용기압탄도쇄석,비교수술시간、주원시간、다통도솔、2차수술솔、출혈량、DSA솔화정석솔.결과 소유환자수술균획성공,량조환자주원시간화2차수술솔무명현통계학차이(P＞0.05),수술시간、다통도솔、출혈량급DSA솔관찰조대우대조조(P＜0.05),정석솔관찰조저우대조조(P＜0.05).결론 미창경피신경취석술시개방수술후신결석안전유효적치료수단,단수술난도화풍험유소증가.
Objectives To evaluate the efficacy and safety of minimally invasive percutaneous nephrolithotomy (mPCNL) for patients with open surgery history of kidney or upper ureter.Methods 189 patients who underwent mPCNL with pneumatic lithotripsy from Jan 2010 to Oct 2012 were selected in this study.The 25 patients of them had a open surgery history of kidney or upper ureter and the other 164 hadn t.The operative time,hospital stay,multiple tracts rate,Secondary PCNL rate,stone-free rate,bleeding quantity and the rate of DSA were compared and analyzed.Results All of the operations were successful.There was no significant difference between the two groups in hospital stay and the Secondary PCNL rate(P ＞ 0.05).The operative time,multiple tracts rate,bleeding quantity and the rate of DSA in observation group were more than them in control group(P ＜0.05) and the stone-free rate was less than it(P ＜ 0.05).Conclusions Minimally invasive percutaneous nephrolithotomy is a safe and effective treatment of kidney stones after open surgery,but the operative difficulty and risk increase.