Efficacy and safety of PCNL with the use of different percutaneous renal access in treatment of renal calculi

ZHANG Yao; et al

doi:10.13406/j.cnki.cyxb.2010.08.020

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Efficacy and safety of PCNL with the use of different percutaneous renal access in treatment of renal calculi

更新时间：2024-01-17

- Efficacy and safety of PCNL with the use of different percutaneous renal access in treatment of renal calculi
- Journal of Chongqing Medical University Vol. 35, Issue 8, Pages: 1264-1266(2010)
- 作者机构：
  
  1. 重庆医科大学附属第一医院泌尿外科
  2. 遂宁市人民医院泌尿外科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.08.020
  CLC： R699
- Published：2010，
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[1]张尧,孙先禹,何俊,曾定胜,余周,康川疆,杨平,吴小候.建立不同口径皮肾通道的PCNL术治疗肾结石的疗效和安全性分析[J].重庆医科大学学报,2010,35(08):1264-1266.

ZHANG Yao, et al. Efficacy and safety of PCNL with the use of different percutaneous renal access in treatment of renal calculi. [J]. Journal of Chongqing Medical University 35(8):1264-1266(2010)
[1]张尧,孙先禹,何俊,曾定胜,余周,康川疆,杨平,吴小候.建立不同口径皮肾通道的PCNL术治疗肾结石的疗效和安全性分析[J].重庆医科大学学报,2010,35(08):1264-1266. DOI： 10.13406/j.cnki.cyxb.2010.08.020.

ZHANG Yao, et al. Efficacy and safety of PCNL with the use of different percutaneous renal access in treatment of renal calculi. [J]. Journal of Chongqing Medical University 35(8):1264-1266(2010) DOI： 10.13406/j.cnki.cyxb.2010.08.020.

摘要

目的:对比分析微通道（F14～F16）和小通道（F18～F20）的经皮肾镜碎石术（Percutaneous nephrolithotomy

PCNL）对治疗肾结石的有效性和安全性。方法:对142例肾结石患者随机选择建立微通道（64例）和小通道（78例）

均在X线定位下应用输尿管镜行气压弹道碎石术。对两组的手术时间、结石清除率和并发症进行比较分析。结果:小通道治疗单纯性肾结石的手术时间为（78.3±15.6）min明显短于微通道组的（91.2±18.2）min（P<0.01）;小通道组对单纯性肾结石的结石清除率为90.6%

稍高于微通道组的80.0%

差异无统计学意义（P>0.05）。小通道组和微通道组治疗复杂性肾结石手术时间分别为（115.3±20.1）min和（130.7±28.7）min（P<0.01）;2组对复杂性肾结石的结石清除率分别为76.1%和51.7%（P<0.05）。结论:小通道PCNL术治疗肾结石特别是复杂性肾结石具有高效、安全等优点

具有一定的临床应用价值。

Abstract

Objective:To investigate the clinical efficacy and safety of PCNL with the use of different percutaneous renal access in treatment of renal calculi.Methods:Percutaneous renal minimal access(F14～F16)or small access(F18～F20)was established randomly in 142 patients

and PCNL were performed in all patients.The clinical parameters including operative time

complication and stone-free rate were compared in the two groups.Results:The operative time of simple renal calculi were(78.3±15.6)min and(91.2± 18.2)min(P<0.01)respectively

and the stone-free rate were 90.6%and 80.0%(P>0.05)in small access group and minimal access group respectively.The operative time of complicated renal calculi were(115.3±20.1)min and(130.7±28.7)min(P<0.01)

and the stone-free rate were 76.1%and 51.7%(P<0.05)respectively.Conclusion:PCNL of small access proves to be effective and safe for treatment of renal calculi

and the approach may deserve wide application.

关键词

肾结石经皮肾造口术经皮肾镜碎石术

Keywords

renal calculiPercutaneous nephrostomypercutaneous nephrolithotomy

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