中国医药导刊
中國醫藥導刊
중국의약도간
Chinese Journal of Medical Guide
2015年
9期
889-890,892
,共3页
经皮肾镜%标准通道%微通道%肾结石
經皮腎鏡%標準通道%微通道%腎結石
경피신경%표준통도%미통도%신결석
Percutaneous nephrolithotomy%Stand-invasive%Mini-invasive%Renal calculus
目的:分析标准通道经皮肾镜碎石术(SPCNL)与微通道经皮肾镜碎石术(MPCNL)应用于合并肾内感染肾结石治疗的临床疗效.方法:选择2013年6月至2014年12月我院收治的合并肾内感染的肾结石患者112例,等分为研究组与对照组,各56例,研究组患者行MPCNL治疗,对照组行SPCNL治疗,治疗结束后对比两组患者的手术情况、结石清除率及并发症发生情况.结果:研究组与对照组对比,手术情况(除冲水量外)及住院时间无差异统计学意义(P>0.05);与对照组相比,研究组术中冲水量显著增多,差异有统计学意义(P<0.05);I期碎石率:研究组69.14%,对照组82.14%,对照组显著升高,而II期碎石率显著降低,差异有统计学意义(P<0.05);两组结石残留率对比无显著差异,无统计学意义(P>0.05);总感染率:对照组12.50%,研究组37.50%,研究组显著升高,差异有统计学意义(P<0.05).结论:相对于MPCNL,SPCNL的结石清除率更高,而且术中及术后感染率低,更宜用于合并肾内感染的肾结石患者的治疗.
目的:分析標準通道經皮腎鏡碎石術(SPCNL)與微通道經皮腎鏡碎石術(MPCNL)應用于閤併腎內感染腎結石治療的臨床療效.方法:選擇2013年6月至2014年12月我院收治的閤併腎內感染的腎結石患者112例,等分為研究組與對照組,各56例,研究組患者行MPCNL治療,對照組行SPCNL治療,治療結束後對比兩組患者的手術情況、結石清除率及併髮癥髮生情況.結果:研究組與對照組對比,手術情況(除遲水量外)及住院時間無差異統計學意義(P>0.05);與對照組相比,研究組術中遲水量顯著增多,差異有統計學意義(P<0.05);I期碎石率:研究組69.14%,對照組82.14%,對照組顯著升高,而II期碎石率顯著降低,差異有統計學意義(P<0.05);兩組結石殘留率對比無顯著差異,無統計學意義(P>0.05);總感染率:對照組12.50%,研究組37.50%,研究組顯著升高,差異有統計學意義(P<0.05).結論:相對于MPCNL,SPCNL的結石清除率更高,而且術中及術後感染率低,更宜用于閤併腎內感染的腎結石患者的治療.
목적:분석표준통도경피신경쇄석술(SPCNL)여미통도경피신경쇄석술(MPCNL)응용우합병신내감염신결석치료적림상료효.방법:선택2013년6월지2014년12월아원수치적합병신내감염적신결석환자112례,등분위연구조여대조조,각56례,연구조환자행MPCNL치료,대조조행SPCNL치료,치료결속후대비량조환자적수술정황、결석청제솔급병발증발생정황.결과:연구조여대조조대비,수술정황(제충수량외)급주원시간무차이통계학의의(P>0.05);여대조조상비,연구조술중충수량현저증다,차이유통계학의의(P<0.05);I기쇄석솔:연구조69.14%,대조조82.14%,대조조현저승고,이II기쇄석솔현저강저,차이유통계학의의(P<0.05);량조결석잔류솔대비무현저차이,무통계학의의(P>0.05);총감염솔:대조조12.50%,연구조37.50%,연구조현저승고,차이유통계학의의(P<0.05).결론:상대우MPCNL,SPCNL적결석청제솔경고,이차술중급술후감염솔저,경의용우합병신내감염적신결석환자적치료.
Objective: To analyze the clinical effect of stand-invasive percutaneous nephrolithotomy(SPCNL) and mini-invasive percutaneous nephrolithotomy(MPCNL) in the treatment of renal calculi with kidney infections.Methods:From Jun 2013 to Dec 2014,112 patients with renal calculi in our hospital were treated with, and the control group was treated with MPCNL, and the control group was treated with SPCNL.Results:Compared with control group,there was no significant difference between the two groups(P>0.05),and the difference was statistically significant (P<0.05),I (II),while the control group was significantly higher than that in control group (P<0.05).The difference was statistically significant (P>0.05),and the total infection rate was 12.50% in the control group (P<0.05).Conclusion:Compared with MPCNL,the removal rate of SPCNL was higher, and the infection rate was lower, and it was more suitable for the treatment of renal calculi with kidney infections.
