微通道经皮肾镜取石术联合钬激光碎石治疗多发肾盏结石临床分析.pdf

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1、现代医药卫生2014#4)~30日第3O卷第8期JModMedHealth，April30，2014，Vo1．30，No．8·1159··短篇论著·微通道经皮肾镜取石术联合钬激光碎石治疗多发肾盏结石临床分析刘世学，谢斌，万滨，刘宁(重庆市巴南区人民医院泌尿外科，重庆400320)【摘要】目的探讨微通道经皮肾镜取石术联合钬激光碎石治疗多发肾盏结石的临床效果及安全性方法回顾性分析2010年5月至2013年12月手术治疗的164例多发肾盏结石患者的临床资料，按手术方式分为微通道组与标准通道组，比较两组患者手术时间、结石清除率、并发症发

2、生率和住院时间。结果两组患者手术时间比较。差异无统计学意义(P>0．05)，微通道组结石清除率高于标准通道组，标准通道组术后并发症发生率高于微通道组，微通道组住院时间短于标准通道组，差异均有统计学意义(P

3、linicalanalysisofminimaHychannelpercutaneousnephrolithotomycombinedwithlaserholmiumlithotripsyformulti-piecalycealcalculiLiuShixue，XieBin，WanBin，LiuNing(DepartmentofUrinarySurgery，PeoplesHospitalofChongqingBanan，Chongqing400320，Cina)【Abstract】ObjectiveToinvestigateth

4、eclinicaleffectandsafetyofminimallychannelpercutaneousnephrolithotomy(MPNL)combinedwithholmiumlaserlithotrlpsyintreatingmultipleealyeealcalculus．MethodsRetrospectiveanalysiswasconductedontheclinicaldataof164patientswithmuhipleealycealcalculus，whoreceivedoperationfrom

5、May2010toDecember2013．Thepatientsweredividedintotheminimalchannel(MC)groupandthestandardchannel(SC)groupaccordingtosurgicalop—tionstocomparetheoperativetime，clearancerateofcalculus，occurrencerateofcomplicationsandhospitalstays．ResultsThedifferencebetweenthetwogroupso

6、noperativetimewasnotstatisticallysignificant(P>0．05)；theclearancerateofcalculusintheMCgroupwashigherthanthatinSCgroupwithstatisticallysignificantdifference(P>0．05)；theoccuiTencerateofpreoperativecomplicationsintheSCgroupwashigherthanthatintheMCgroupwithstatisticallys

7、ignificantdiference(P<0．05)；thehospitalstaysintheMCgroupwasshorterthanthatintheSCgroup，andthediferencehadstatisticalsignificance(P<0．05)．ConclusionsCurativeefectofMPNLcombinedholmiumlaserlithotripsyinthetreatmentofmultiplecalycealcalculusisreliablewithlesspostoperati

8、vecomplications，SOMPNLcombinedholmiumlaserlithotripsyiswoahyofclinicalpromotion．【Keywords】Nephrostomy，percutaneous；Calculi；Kidneyca