经皮肾镜取石术治疗肾结石108例临床疗效观察

目的：探讨经皮肾镜取石术治疗肾结石（PCNL）的临床疗效及出血因素。方法：回顾性分析本院收治108例肾结石患者行PCNL治疗的临床疗效和出血因素,分析PCNL治疗复杂性肾结石的临床优势,并探讨导致PCNL出血的因素。结果：108例PCNL均成功,PCNL能显著提高复杂性肾结石的临床疗效;临床分析发现影响PCNL出血因素主要有肾功能不全、结石类型及糖尿病。结论：PCNL能显著提高复杂性肾结石的临床疗效,结石类型是影响出血的主要因素,将会明显增加出血风险。

Clinical Observation of Percutaneous Nephrolithotomy Lithotomy for 108 Patients with Kidney Stones

Objective： To explore the clinical efficacy and the bleeding factors of percutaneous nephrolithotomy lithotomy （ PCNL ） .Method： 108 patients with kidney stones who treated with PCNL in our hospital were analyzed retrospectively the clinical efficacy and bleeding factors, the clinical advantages of PCNL in the treatment of complex renal calculi, and to explore the factors of PCNL haemorrhage.Resuit： 108 eases of PCNL operations were performed successfully, the PCNL surgery could significantly improve the clinical efficacy of complex renal calculi, through clinical analysis found that hemorrhagic factors of PCNL surgery mainly renal insufficiency, type of stones and diabetes.Conclusion： PCNL surgery can significantly improve the clinical efficacy of complex renal calculi, the stones type is major factor in the cause bleeding, it will significantly increase the risk of bleeding.