经皮肾镜取石术治疗肾结石60例临床观察

目的观察经皮肾镜取石术治疗肾结石的效果。方法选择2011年1月～2012年1月在我院应用经皮肾镜取石术治疗的60例肾结石患者。作为A组，另选择同期行开放性肾切开取石及肾盏成形术56例，作为B组，比较两组的手术时间、术中出血量、住院时间及并发症情况。结果A组60例患者的手术时间60～120min，平均（80．3±11．2）min，明显短于B组，差异有统计学意义（P〈0．05）。A组患者住院时间最短10d，最长16d，平均住院时间（13．8±2.3）d，明显短于对照组，差异有统计学意义（P〈0．05）。A组术中出血量也明显少于对照组，差异有统计学意义（P〈0．05）。A组出现发热、肾通道裂伤、术后出血、肾造瘘口漏尿明显少于B组，差异有统计学意义（P〈0．05）。结论经皮肾镜取石术治疗肾结石疗效好，并发症少，值得推广和应用。

Percutaneous nephrolithotomy in treating 60 cases of kidney stones

Objective To observe the effect of percntaneous nephrolithotomy in treatment of renal calculi. Methods From 2011 January to 2012 January in our hospital,the clinical application of percutaneous nephrolithotomy in the treatment of 60 cases of patients with kidney stones as the A group, the other underwent development renal lithotomy and calyceal plasty in 56 cases as B group,the operation time, amount of bleeding,hospitalization time and complications were compared between two groups. Results The operation time of A group of 60 patients were 60-120 min, average （80.3±11.2） min, was significantly shorter than the B group, the difference was statistically significant （P 〈 0.05）. Group A patients hospitalized duration was the shortest 10 days, the longest 16 d, the average hospital stay was 13.8±2.3 d,was significantly shorter than the control group, the difference was statistically significant （P 〈 0.05）. The amount of bleeding in operation in A group was significantly less than that in the control group,the difference was statistically significant（P 〈 0.05）. The fever,kidney channel laceration, postoperative bleeding, renal stoma leakage of urine of group A was less than that of B group, the difference was statistically significant （P 〈 0.05）. Conclusion Percutaneous nephrolithotomy lithotomy for treatment of renal calculi good curative effect,less complications,is worthy of promotion and application.