CAJ | 학술논문

目的：探讨经皮肾镜一期治疗肾盂旁囊肿合并肾结石的可行性。方法整群选择61例经皮肾镜一期治疗肾盂旁囊肿合并肾结石的临床资料。随机分为两组。研究组实施经皮肾镜一期的方式进行治疗,对照组则予以常规治疗。观察术后临床效果。结果①61例手术均成功,研究组手术时间平均(112±20) min,术中无大出血,而对照组的手术时间(171±20)min长于研究组,且术中出血大出血的患者有2例(P<0.05)。②研究组术后复查无结石、囊肿残留,随访无复发,而对照组有4例复发患者(P<0.05)。③研究组不良反应发生率为3.23%,而对照组为23.33%(P<0.05)。结论经皮肾镜治疗肾盂旁囊肿合并肾结石微创、安全、高效。
목적：탐토경피신경일기치료신우방낭종합병신결석적가행성。방법정군선택61례경피신경일기치료신우방낭종합병신결석적림상자료。수궤분위량조。연구조실시경피신경일기적방식진행치료,대조조칙여이상규치료。관찰술후림상효과。결과①61례수술균성공,연구조수술시간평균(112±20) min,술중무대출혈,이대조조적수술시간(171±20)min장우연구조,차술중출혈대출혈적환자유2례(P<0.05)。②연구조술후복사무결석、낭종잔류,수방무복발,이대조조유4례복발환자(P<0.05)。③연구조불량반응발생솔위3.23%,이대조조위23.33%(P<0.05)。결론경피신경치료신우방낭종합병신결석미창、안전、고효。
Objective To explore the feasibility of one-stage percutaneous nephrolithotomy in the treatment of parapelvic cyst complicated with renal calculi. Methods The clinical data of 61 patients with parapelvic cyst complicated with renal calculi who underwent one-stage percutaneous nephrolithotomy was randomly divided into study group and control group, in which one-stage percutaneous nephrolithotomy and routine therapy were performed respectively. The clinical effects were observed. Results ① All the operations were performed successfully, but there were statistically significant differences in even operation duration and mas-sive hemorrhage during surgery between the two groups(P<0.05), which were(112±20) min vs(171±20)min and 0 case vs 2 cases.②There were no residual cysts and stones in reexamination, and no recurrence in follow-up in the study group, while there was 4 cases of recurrences in the control group, and the differences was statistically significant (P<0.05). ③ The adverse reaction rate was 3.23%in the observation group and 23.33%in the control group(P<0.05). Conclusion Percutaneous nephrolithotomy is mini-mally invasive, safety and highly effective in the treatment of parapelvic cyst complicated with renal calculi.