CAJ | 학술논문

目的：观察微创经皮肾穿刺取石术治疗上尿路结石的临床疗效与安全性。方法选取我院2011年6月至2013年6月收治的上尿路结石患者256例，进行回顾性分析。随机分成两组各128例，即观察组与对照组。观察组患者采取微创经皮肾穿刺取石术治疗上尿路结石，对照组患者采取临床常规的取石术。观察两组患者在治疗前后的碎石成功率、并发症以及其他临床疗效指标。结果观察组碎石成功率、并发症发生率明显优于对照组，两组患者具有显著差异（P＜0.05），统计学有意义；两组患者在住院时间方面无显著差异，无统计学意义（P＞0.05）。结论微创经皮肾穿刺取石术在临床治疗上尿路结石中，碎石成功率高，并发症少，治疗效果显著，可有效提升患者生活质量，值得在临床推广。
목적：관찰미창경피신천자취석술치료상뇨로결석적림상료효여안전성。방법선취아원2011년6월지2013년6월수치적상뇨로결석환자256례，진행회고성분석。수궤분성량조각128례，즉관찰조여대조조。관찰조환자채취미창경피신천자취석술치료상뇨로결석，대조조환자채취림상상규적취석술。관찰량조환자재치료전후적쇄석성공솔、병발증이급기타림상료효지표。결과관찰조쇄석성공솔、병발증발생솔명현우우대조조，량조환자구유현저차이（P＜0.05），통계학유의의；량조환자재주원시간방면무현저차이，무통계학의의（P＞0.05）。결론미창경피신천자취석술재림상치료상뇨로결석중，쇄석성공솔고，병발증소，치료효과현저，가유효제승환자생활질량，치득재림상추엄。
Objective The clinical efifcacy and safety of objective observation of minimaly invasive percutaneous nephrolithotomy for treatment of upper urinary tractcalculi. Methods In our hospital from June 2011 to June 2013 in patients with upper urinary calculi were analyzed retrospectively in 256 cases. Randomly divided into two groups with 128 cases in each, that is the observation group and the control group. The observation group adopts minimaly invasive percutaneous nephrolithotomy for treatment of upper urinary tract calculi, the control group took routine clinical PCNL, two groups of patients were observed before and after treatment of gravel success rate, complications and other clinical indicators.Results In the observation group, the successful rate of lithotripsy, the occurrence rate of complications was signiifcantly beter than the control group, signiifcant difference with the patients in the two groups (P<0.05), statisticaly signiifcant; no signiifcant difference between the two groups of patients in hospitalization time, no statistical signiifcance (P>0.05).Conclusion Minimaly invasive percutaneous nephrolithotomy in the clinical treatment of calculus of upper urinary tract stone, high success rate, less complications, the treatment effect is signiifcant, which can effectively improve the quality of life of patients, it is worth in clinical promotion.