CAJ | 학술논문

目的：对比微通道和标准通道经皮肾镜取石术治疗肾结石的疗效。方法选取2012年7月～2013年10月我院收治的肾结石患者198例，随机分为标准通道组和微通道组。标准通道组采用标准通道经皮肾镜取石术治疗，微通道组采用微通道经皮肾镜取石术治疗，对两组患者的手术时间、手术并发症、冲水量、结石清除率等指标进行比较。结果微通道组患者的手术时间、冲水量均多于标准通道组，差异有统计学意义（P＜0.05）；微通道组的一期结石清除率、多发性结石清除率、鹿角状结石清除率低于标准通道组，差异有统计学意义（P＜0.05）。两组术中出血量、单发性结石清除率、术后出血发生率、发热发生率比较，差异均无统计学意义（P＞0.05）。结论标准通道经皮肾镜取石术手术时间较短、冲水量较少，多发结石清除率和鹿角状结石清除率较高，可能更适用于复杂性结石的治疗。
목적：대비미통도화표준통도경피신경취석술치료신결석적료효。방법선취2012년7월～2013년10월아원수치적신결석환자198례，수궤분위표준통도조화미통도조。표준통도조채용표준통도경피신경취석술치료，미통도조채용미통도경피신경취석술치료，대량조환자적수술시간、수술병발증、충수량、결석청제솔등지표진행비교。결과미통도조환자적수술시간、충수량균다우표준통도조，차이유통계학의의（P＜0.05）；미통도조적일기결석청제솔、다발성결석청제솔、록각상결석청제솔저우표준통도조，차이유통계학의의（P＜0.05）。량조술중출혈량、단발성결석청제솔、술후출혈발생솔、발열발생솔비교，차이균무통계학의의（P＞0.05）。결론표준통도경피신경취석술수술시간교단、충수량교소，다발결석청제솔화록각상결석청제솔교고，가능경괄용우복잡성결석적치료。
Objective To investigate the clinical efficacy of minimally invasive percutaneous nephrolithotomy and standard percutaneous nephrolithotomy in the treatment of complex renal calculi. Methods A total of 198 patients with kidney stone,who were treated in our hospital from July 2012 to October 2013, were randomly divided into the MPCNLgroup and the PCNL group. The former group were treated by MPCNL, while the latter by PCNL.Clinical indictors including the operative time, complications, water lfush volume,stone clearance of the two groups were cpmpared. Results The average operation time, water lfush volume in the MPCNL group all were longer than that in the PCNL group (P<0.05). a stage stones clearance rate, multiple stones clearance rate, staghorn calculus clearance rate in the MPCNL lower than that in the PCNL group (P<0.05). There was no statistical difference in inntraoperative blood loss, single stone clearance rate, incidence of postoperative bleeding, the incidence of fever between the two groups (P>0.05). Conclusions PCNL has advantages such as short operation time, little water lfush volume, higher multiple stones clearance rate, higher staghorn calculus clearance rate,which may be more applicable to treatment for complex calculus.