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目的对比分析经皮肾镜取石术(percutancousne phrolithotripsy,PCNL)和肾窦内肾盂切开开放手术方式取石的临床疗效。方法纳入我院泌尿外科2009年7月至2011年10月间收治的52例鹿角形肾结石患者,随机分为观察组(n=26例)和对照组(n=26例),观察组采取经皮肾镜取石术,对照组采取肾窦内肾盂切开取石术。比较两组临床疗效和术后半年结石复发率。结果两组患者手术成功率均为100%,观察组手术时间、术中出血、住院天数、术后并发症、半年结石复发率均少于对照组,住院费用高于对照组,比较差异均有统计学意义(P<0.05)。结论经皮肾镜取石术和肾窦内肾盂切开治疗肾脏鹿角形结石均安全有效,经皮肾镜手术具有创伤小、恢复快、结石复发率低等优点,符合外科手术患者快速康复的治疗理念,值得在临床推广应用。
Objective To compare and analyze the clinical curative effect of percutancous nephrolithotripsy (PCNL) and renal pelvis open pelvic open surgery. Methods Fifty-two patients with antler nephrolithiasis who were admitted to Department of Urology in our hospital from July 2009 to October 2011 were randomly divided into observation group (n = 26) and control group (n = 26) Percutaneous nephrolithotomy, the control group to take the renal sinus pyelolithotomy. The clinical efficacy and recurrence rate of stone after six months were compared between the two groups. Results The success rate of operation in both groups was 100%. The operation time, intraoperative bleeding, hospitalization days, postoperative complications and half year stone recurrence rate in observation group were less than those in control group, and the hospitalization expense was higher than that in control group Statistical significance (P <0.05). Conclusion Percutaneous nephrolithotomy and renal pelvis incision in the treatment of renal antler calculi are safe and effective, percutaneous nephrolithotomy has the advantages of less trauma, faster recovery, lower recurrence rate of stone, in line with the rapid rehabilitation of patients with surgical treatment Concept, it is worth promoting in clinical application.