经皮肾镜碎石术联合切开术治疗肾内型肾盂肾结石伴UPJ狭窄疗效探讨.docVIP

经皮肾镜碎石术联合切开术治疗肾内型肾盂肾结石伴UPJ狭窄疗效探讨 　　[摘要] 目的 探讨分析经皮肾镜碎石术联合切开术治疗肾内型肾盂肾结石伴UPJ狭窄的临床疗效与价值。方法 随机选取该院泌尿科肾内型肾盂结石伴UPJ狭窄患者100例作为实验对象，分为A组与B组。分别对两组患者实行经皮肾镜碎石术联合切开术以及常规开放手术进行治疗。比较两组患者治疗时间，术中出血量等指标。 结果 手术中各项指标比较 A组患者行经皮肾镜碎石术联合点切开术用于治疗疾病其手术时间（81.2±1.53）min、出血量（70.3±10.1）mL及平均治疗时间（8.2±1.3）d均显著优于常规开放手术组（125.3±10.2）min、（82.3±10.1）mL及（12.1±3.4）d（P0.05）。 结论 临床应用经皮肾镜碎石术联合切开术治疗肾内型肾盂肾结石伴UPJ狭窄能够在短时间内促进患者将结石排，提高碎石清除率并缩短手术时间，能够有效恢复上尿路通常。 　　[关键词] 经皮肾镜碎石术；切开术；肾内型肾盂肾结石伴UPJ狭窄；临床疗效与意义 　　[中图分类号] R699 [文献标识码] A [文章编号] 1674-0742（2014）08（b）-0016-03 　　[Abstract] Objective To study the clinical efficacy and value of percutaneous nephrolithotomy combined with incision in the treatment of intrarenal pelvis renal calculi with UPJ stenosis. Methods 100 cases with intrarenal pelvis renal calculi with UPJ stenosis in Department of Urology of our hospital were randomly selected and divided into group A and group B， and they were treated by percutaneous nephrolithotomy combined with incision， conventional open operation， respectively. The treatment time， intraoperative bleeding volume and other indexes of two groups of patients were compared. Results Comparing the indexes in the operation， the operation time， bleeding volume， and the average treatment time of group A was （81.2±1.53）min， （70.3±10.1）ml，（8.2±1.3）d， respectively， significantly better than group Bs （125.3±10.2）min， （82.3±10.1）ml， （12.1±3.4）d， respectively（P0.05）. Conclusion The clinical application of percutaneous nephrolithotripsy combined with incision in the treatment of intrarenal pelvis renal calculi with UPJ stenosis can promote the discharge of stones in a short period of time， improve the stone clearance rate， shorten the operation time， and effectively restore the unobstructed upper urinary tract. 　　[Key words] Percutaneous nephrolithotomy； Incision； Intrarenal pelvis renal calculi with UPJ stenosis； Clinical efficacy and significance 　　肾内型肾盂发生肾结石后治疗相对困难，尤其是合并肾输尿管连接处（UPJ）狭窄更给治疗增加难度[1]。目前随着医疗技术水平不断提高，内镜技术逐渐得到发展且逐渐替代传统开放手术用于疾病治疗当中。