摘要
Abstract
Objective:To assess minimally invasive percutaneous nephrolithotomy with holmium laser lithotripsy of curative effect in the treatment of renal calculi. Method:79 cases of kidney stones and ureteropelvic junctioncalculi patients were treated from February 2010 to June 2012 in author’s hospital, according to the differentoperation method,which was divided into the observation group and the control group,the observation group of 41 patients underwent minimally invasive percutaneous nephrolithotomy with holmium laser lithotripsy treatment,the control group of 38 patients standard tract percutaneous nephrolithotomy holmium laser lithotripsy treatment,compared two groups of patients with operation time,intraoperative bleeding volume,postoperative hospital stay,postoperative pain index and residual stone rate. Postoperative follow-up time was 6-36 months,mean 18 months.Result:All 79 patients completed the operation and good recovery. Control group the average operation time was (136.0±25.1)min,the average intraoperative blood loss (246.0±54.9)ml,postoperative hospitalization time averaged (9.2±2.5)d,postoperative pain index (1.7±0.5),7 cases had residual stones (18.4%). Observation group theaverage operation time was (123.0±27.8)min,theaverage amount of bleeding during operation (82.0±25.5)ml,postoperative hospitalization time averaged (7.7±3.2)d,postoperative pain index (2.1±0.6),6 cases had residual stones(14.6%). The two groups in operation time,bleeding volume,postoperative hospital stay,postoperative pain index,postoperative residual stone rate comparison,the differences were statistically significant (P<0.05). 14 patients underwent color Doppler and intravenous pyelography confirm residual stone,the treatment of residual stones with extracorporeal shock wave lithotripsy. After the two groups no significant complications. Conclusion:Minimally invasive percutaneous nephrolithotomy with holmium laser lithotripsy in the treatmeat renal calculi is a efficient、safe and reliable minimal invasive methods. Minimally invasive percutaneous nephrolithotomy with holmium laser lithotripsy in the treatmeat renal calculi is more advantaged than standard percutaneous nephrolithotomy lithotripsy.关键词
肾结石/微创经皮肾镜钬激光碎石取石术/标准通道经皮肾镜钬激光碎石取石术Key words
Renal calculi/Minimally invasive percutaneous nephrolithotomy with holmium laser lithotripsy/Standard percutaneous nephrolithotomy lithotripsy分类
医药卫生
