[1]蒋雷鸣,孙文国,袁振.标准通道与微通道经皮肾镜碎石取石术治疗肾结石的疗效分析(附视频)[J].中华腔镜泌尿外科杂志(电子版),2012,(05):9-12.
 JIANG Lei-ming,SUN Wen-guo,YUAN Zhen.Comparison of clinical effect between PCNL and MPCNL in the treatment of renal calculi[J].,2012,(05):9-12.
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标准通道与微通道经皮肾镜碎石取石术治疗肾结石的疗效分析(附视频)()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2012年05期
页码:
9-12
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Comparison of clinical effect between PCNL and MPCNL in the treatment of renal calculi
作者:
蒋雷鸣孙文国袁振
541001,广西壮族自治区桂林医学院附属医院泌尿外科
Author(s):
JIANG Lei-mingSUN Wen-guoYUAN Zhen
关键词:
肾结石经皮肾镜取石术微通道标准通道
摘要:
目的 探讨标准通道经皮肾镜取石术(PCNL)与微通道经皮肾镜取石术(MPCNL)治疗肾结石的临床疗效及其优缺点.方法 回顾性分析323例肾结石患者,其中178例采用MPCNL,145例采用标准通道PCNL,对两组手术时间、一期手术成功率、结石清除率、手术并发症、肾功能、输血率、住院时间等指标进行比较分析.结果 两组患者分别成功建立了18 F和24 F肾穿刺通道并一期行碎石术.MPCNL组手术时间较PCNL组延长(P<0.05),但肾盏多发性结石患者结石清除率高于标准通道PCNL组(P<0.05),而单纯肾盂结石患者结石清除率则低于标准通道PCNL组(P<0.05).两组鹿角型结石患者一期结石清除率比较无统计学意义(P>0.05).两组术后手术并发症、肾功能、输血率、住院时间等均无显著性差异(P>0.05).结论 MPCNL与标准通道PCNL均具有术中损伤小、住院时间短、结石清除率高、并发症低、对肾功能无明显影响等优点.标准通道PCNL较适合处理较大的肾盂结石,MPCNL较适合治疗肾盏多发结石,两者联合应用可提高鹿角型结石的治疗疗效.

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备注/Memo

备注/Memo:
广西壮族自治区卫生厅课题(Z2007214)
更新日期/Last Update: 1900-01-01