经皮肾镜手术与开放性手术治疗复杂性肾结石疗效对比.docVIP

经皮肾镜手术与开放性手术治疗复杂性肾结石疗效对比 　　[摘要] 目的 分析探讨开放手术与经皮肾镜手术治疗复杂性肾结石的临床疗效。 方法 整群选择2011年5月―2014年12月期间于该院行外科手术治疗的复杂性肾结石患者180例，采用随机数字表法分为观察组92例、对照组88例，观察组行微创经皮肾镜取石术，对照组行传统开放手术，对比两组患者手术的一般情况及术后尿路感染的发生率。 结果 观察组术中出血量、手术时间、下床活动时、住院时间均明显少于对照组，差异有统计学意义（P0.05）；观察组术后复发率与尿路感染发生率均小于对照组（1.09% vs 9.09%、7.61% vs 19.32%），差异有统计学意义（P0.05）。 结论 与开放性手术相比较，经皮肾镜手术治疗复杂性肾结石具有创伤小、感染轻、出血少、恢复快等特点，值得临床推广应用。 　　[关键词] 经皮肾镜手术；开腹取石手术；复杂性肾结石 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-0742（2015）08（b）-0045-03 　　[Abstract] Objective To analyze the effect of percutaneous nephrolithotomy and open surgery in the treatment of complex renal calculi. Methods 180 patients with complex renal calculi who underwent surgical procedures in our hospital during May 2011 and December 2014 were randomly divided into observation group （n=92） and control group （n=88）， in which minimally invasive percutaneous nephrolithotripsy and traditional open surgery were performed respectively. Basic conditions and the rate of urinal tract infection after operation were compared between the two groups. Results Intraoperative blood loss， operation duration， out of bed activity time， hospitalization time were shorter in the observation group than in the control group， and the differences were statistically significant（P0.05）； the recurrent rate and the rate of urinal tract infection after operation were lower in the observation group than in the control group， which were 1.09% vs 9.09% and 7.61% vs 19.32%， and the differences were statistically significant （P0.05）. Conclusion Compared with open surgery， percutaneous nephrolithotomy， in the treatment of complex renal calculi， is characterized by less little trauma， mild infection， less bleeding and rapid recovery. Therefore it is worthy of promotion and application. 　　[Key words] Percutaneous nephrolithotomy； Open surgery； Complex renal calculi 　　肾结石是发生在泌尿系统的一种常见疾病，根据结石的部位、数量、体积等可分为简单性肾结石和复杂性肾结石[1]。复杂性肾结石因体积大、结石分布广泛等因素，传统开放性手术因手术创伤大、出血多、术中难以一次性取尽结石、术后恢复慢、伤口疼痛等，需要多次手术，给患者带来了巨大的身心痛苦。为分析探讨开放手术