经皮肾镜一期治疗肾盂旁囊肿合并肾结石.docVIP

经皮肾镜一期治疗肾盂旁囊肿合并肾结石 　　[摘要] 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（P0.05）。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（P0.05）。③研究组不良反应发生率为3.23%，而对照组为23.33%（P0.05）。结论 经皮肾镜治疗肾盂旁囊肿合并肾结石微创、安全、高效。 　　[关键词] 经皮肾镜；肾盂旁囊肿；肾结石 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2015）08（b）-0047-02 　　[Abstract] 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 massive hemorrhage during surgery between the two groups（P0.05）， which were（112±20） min vs（171±20）min and 0 case vs 2 cases. ② There 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（P0.05）. ③ The adverse reaction rate was 3.23% in the observation group and 23.33% in the control group（P0.05）. Conclusion Percutaneous nephrolithotomy is minimally invasive， safety and highly effective in the treatment of parapelvic cyst complicated with renal calculi. 　　[Key words] Percutaneous nephrolithotomy； Parapelvic cyst； Renal Calculi 　　肾盂旁囊肿是一种比较常见的临床疾病。据相关的临床医学调查显示[1-3]，近年来，我国肾盂旁囊肿的发病率呈逐年上升的趋势，该病症会给患者的身心健康发展带来严重的不良影响。该文就经皮肾镜一期治疗肾盂旁囊肿合并肾结石的可行性，对该院2012 年8 月―2014 年10月间收治的61例肾盂旁囊肿合并肾结石患者展开了不同的治疗方式进行治疗，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　整群选取该院2012 年8 月―2014 年10月收治的肾盂旁囊肿合并肾结石患者，共61