摘要
Abstract
Objective To investigate clinical efficacy of laparoscopic renal cyst unroofing combined percutane‐ous nephrolithotomy lithotripsy treatment on patients with renal cysts and kidney stones .Methods A total of 78 pa‐tients with renal cysts and kidney or upper ureteral calculus from January 2012 to December 2012 as objects in this study .Among them ,40 patients accepted laparoscopic renal cyst unroofing combined percutaneous nephrolithotomy lithotripsy treatment were assigned into study group ,38 patients accepted traditional laparotomy operation were as‐signed into control group .The treatment efficacy were compared in the two groups .Results The operative time , blood loss ,gastrointestinal function recovery time ,ambulation time ,length of hospital stay ,pain VAS scores in the study group were significant lower than those in the control group ,the differences were statistical significant (P<0 .05) .Stone clearance rate in the study group was higher ,stone recurrence rate was lower than those in the control group ,the difference was statistical significant (P<0 .05) .Postoperative complication rate was 10 .0% in the study group ,which was significant lower than the 28 .9% in the control group ,the difference was statistical significant (P<0 .05) .Conclusion Laparoscopic renal cyst unroofing combined percutaneous nephrolithotomy lithotripsy treatment has obvious efficacy ,less trauma ,less bleeding ,better alleviate efficacy of the patient′s pain ,and could reduce the re‐lapse rate and complications ,which is worthy of clinical application .关键词
肾囊肿/肾结石/输尿管结石/后腹腔镜/经皮肾穿刺碎石术Key words
renal cysts/kidney stones/urethral calculi/retroperitoneal laparoscopy/percutaneous nephrolithotomy