反向微创经皮肾镜碎石术与传统微创经皮肾镜碎石术临床效果分析-现代医学

反向微创经皮肾镜碎石术与传统微创经皮肾镜碎石术临床效果分析

单位：盐城市第三人民医院泌尿外科, 江苏盐城 224001

分类号：R692.4

出版年·卷·期（页码）：2018·37·第九期（1058-1061）

摘要：

目的：比较传统微创经皮肾镜取石术与反向微创经皮肾镜取石术的临床效果。方法：回顾性分析本科42例肾结石患者的临床数据，其中20例采用传统微创经皮肾镜取石术，22例采用反向微创经皮肾镜取石术，比较两组间手术时间、术中出血量、住院时间、并发症发生率等，术后3个月随访并评价结石清除率。结果：反向微创经皮肾镜取石术平均手术时间较传统微创经皮肾镜取石术时间延长（P<0.05），但总体出血量较后者明显减少（P<0.05），其手术并发症的发生率也较低，但两者术后平均住院时间及结石清除率等均无显著性差异（P>0.05）。结论：反向微创经皮肾镜取石术较传统微创经皮肾镜取石术降低了术中出血及并发症的几率。

Objective: To compare the clinical efficacy of retrograde and traditional minimally invasive percutaneous nephrolithotomy. Methods: Records of 42 cases of kidney stones were retrospectively reviewed. Among all the patients, 20 cases received traditional minimally invasive percutaneous nephrolithotomy (MPCNL), and the other 22 cases were treated with retrograde minimally invasive percutaneous nephrolithotomy (RMPCNL). The operation time, intraoperative blood loss, postoperative hospital stay, incidence of complications, and stone removal rate were compared between the two groups 3 months after surgery. Results: The operation time of RMPCNL was significantly longer than that of the MPCNL (P<0.05). And the intraoperative blood loss in the patients treated with RMPCNL was significantly less than that in the patients treated by MPCNL (P<0.05). Moreover, the incidence of complications in the RMPCNL group was lower than that in the MPCNL group. However, there were no significant differences between the two groups in postoperative hospital stay and stone removal rate (P>0.05). Conclusion: RMPCNL can significantly reduce the probability of intraoperative bleeding and the incidence of complications.

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