CAJ | 학술논문

目的：探讨体重指数（Body Mass Index，BMI）对微通道经皮肾镜取石术临床疗效的影响。方法前瞻性收集2010年5月～2013年12月入住我科且实施微通道经皮肾镜取石术患者160例，根据患者的体重指数分为正常组和肥胖组，统计分析两组患者的临床疗效。结果正常组和肥胖组患者性别、年龄、术中出血量、结石位置、住院时间、术后并发症均无统计学差异（P ＞0.05）；肥胖组的手术时间明显长于对照组（P ＜0.01），术后结石清除率低于对照组（P ＜0.05）。结论 BMI ＞30患者实施微通道经皮肾镜取石术是一种安全、可行的处理方法，但是术中应注意加强监护及术后残留结石的处理。
목적：탐토체중지수（Body Mass Index，BMI）대미통도경피신경취석술림상료효적영향。방법전첨성수집2010년5월～2013년12월입주아과차실시미통도경피신경취석술환자160례，근거환자적체중지수분위정상조화비반조，통계분석량조환자적림상료효。결과정상조화비반조환자성별、년령、술중출혈량、결석위치、주원시간、술후병발증균무통계학차이（P ＞0.05）；비반조적수술시간명현장우대조조（P ＜0.01），술후결석청제솔저우대조조（P ＜0.05）。결론 BMI ＞30환자실시미통도경피신경취석술시일충안전、가행적처리방법，단시술중응주의가강감호급술후잔류결석적처리。
Objective To investigate the effects of BMI on the clinical eficacy of Minimally-access Percutaneous Nephrolithotomy. Methods 160 patients treated with Mini-PCNL were divided into the control group and obesity group according to the body mass index. The clinical eficacy of two groups were compared. Results There were not signiicantly statistical differences in sex, age, blood loss, stone position, hospital stays and postoperative complication between the two groups (P<0.05). The operative time in obesity group was longer than that in control group (P <0.01). The stone-free rate in obesity group was lower than that in control group (P<0.05). Conclusion The Mini-PCNL in obese patients is a safe and feasible method, but strengthening monitoring and postoperative residual stone processing should be pay more attention.