微通道和标准通道在经皮肾取石术中的应用效果观察

目的比较微通道和标准通道在经皮肾取石术中的应用效果。方法选择衡水市第四人民医院于2011年11月至2012年10月收治的85例肾结石患者作为研究对象,按照不同手术方案分为两组:采用微通道经皮肾取石术治疗的40例为对照组,采用标准通道经皮肾取石术治疗的45例为观察组,比较两种手术方案的临床应用效果。结果观察组一期清除率显著高于对照组(93.3%vs 77.5%),观察组的手术时间显著少于对照组,组间比较差异均有统计学意义(P<0.05),但两组的术中出血量、住院时间比较,差异无统计学意义(P>0.05);观察组术后发热的发生率显著低于对照组(2.2%vs 20.0%),组间比较差异有统计学意义(P<0.05)。结论标准通道在经皮肾取石术中的应用效果更佳,具有更高的结石清除率,手术时间更短,安全性好,应作为首选的手术方案。

Observation on the Application Effect of Micro Channel and Standard Channel Percutaneous Nephrolithotomy

Objective To compare the clinical application effect of micro channel and standard channel percutaneous nephrolithotomy. Methods From Nov. 2011 to Oct. 2012 in the Fourth People＇s Hospital of Hengshui ,85 cases of kidney calculi were selected as the objects of study ,they were divided into two groups according to different surgical plan,d0 cases with micro channel percutaneous nephrolithotomy as the control group, and 45 cases with standard channel percutaneous nephrolithotomy as the observation group, the clinical application effect of the two groups were compared. Results The one-stage clearance rate of observation group was 93.3 % , significantly higher than 77.5 % of the control group （ P 〈 0.05 ） ; the operation time of observation group was significantly shorter than the control group （ P 〈 0.05 ） , while the blood loss and hospi- talization time of two groups were not statistically significantly different （ P 〉 0.05 ） ; the postoperative fever rate of observation group was 2.2% , significantly lower than 20.0% of the control group （P 〈 0.05 ）. Conclusion The application effect of standard channel percutaneous nephrolithotomy lithotomy is better, with higher stone clearance rate, shorter operative time and good safety, which should be used as the preferred surgical options.