腹腔镜联合经皮肾穿刺取石术治疗48例肾囊肿并多发性肾结石效果分析

目的：探讨腹腔镜联合经皮肾穿刺取石术治疗肾囊肿并肾多发性结石的临床效果和安全性。方法将96例肾囊肿并肾多发性结石患者进行分组，对照组用传统开放手术，试验组用腹腔镜联合经皮肾穿刺取石术，评价两组患者术后手术效果、术后并发症和结石复发情况。结果实验组手术时间、术中出血量和住院时间明显少于对照组（P〈0.01）；实验组手术并发症发生率8.33%，明显低于对照组的22.92%，差异有统计学意义（P〈0.05）；实验组结石清除率、结石复发率与对照组比较均无统计学意义（P〉0.05）。结论腹腔镜联合经皮肾穿刺取石术治疗肾囊肿并肾多发性结石效果确切，能够有效缩短手术时间，降低手术出血量，提高结石清除率和预防结石复发。

Analysis of the effect of laparoscope combined with percutaneous nephrolithotomy in the treatment of 48 cases of renal cyst complicated with multiple renal calculus

Objective To explore the clinical effect and safety of laparoscope combined with percutaneous nephrolitho-tomy in the treatment of renal cyst complicated with multiple renal calculus. Methods Ninety-six patients with renal cyst complicated with multiple renal calculus were randomly allocated to control group and experimental group. The control group received conventional open operation, while the experimental group received laparoscope combined with percutaneous nephrolithotomy. Operative effect, operation-induced complications and relapse of calculus after the op-eration were evaluated between the two groups. Results Operation time, amount of bleeding during operation and hospi-talization time in the experimental group were all significantly lower or shorter than those in the control group（P〈0.01）;Incidence of operation-induced complications was 8.33% in the experimental group, significantly lower than that in the control group of 22.92%, and the difference was statistically significant （P〈0.05）; There was no significant difference of calculus clearance rate and relapse rate between the two groups （P〉0.05）. Conclusion Laparoscope combined with percutaneous nephrolithotomy in the treatment of renal cyst complicated with multiple renal calculus has exact effect, which helps effectively shorten operation time, reduce the amount of bleeding during operation, improve the clearance rate of calculus, and prevent its relapse.