目的比较微通道与标准通道经皮肾镜钬激光碎石术治疗复杂性多发肾结石的近期疗效及安全性。方法将180例复杂性多发肾结石患者随机分为观察组和对照组,每组90例。观察组采用F16~F18经皮肾镜钬激光碎石术治疗,对照组采用F20~F24经皮肾镜钬激光碎石术治疗。比较两组疗效。结果观察组手术时间显著长于对照组(P<0.05),观察组术中出血量明显比对照组少(P<0.05);两组患者结石取净率比较,差异无统计学意义(P>0.05)。观察组并发症发生率明显高于对照组(P<0.05)。结论微通道与标准通道经皮肾镜钬激光碎石术治疗复杂性多发肾结石均具有较好的临床疗效,各有优点,临床应结合结石大小、分布范围,选择适宜大小的经皮肾通道,以达到较好的手术治疗效果。
ObjectiveTo compare short-term efficacy and safety of micro channel and standard channel percutaneous nephrolithotomy holmium laser lithotripsy in treatment of complex multiple renal calculi. MethodsA total of 180 cases with complex multiple renal calculi were randomly divided into observation group and control group, 90 cases in each group. The observation group were given F16-F18 percutaneous nephroscope holmium laser lithotripsy treatment, and the control group were given F20-F24 percutaneous nephroscope holmium laser lithotripsy treatment. The therapeutic effect of the two groups were compared after treatment. ResultsThe operation time of observation group was significantly longer than that of control group, the amount of bleeding during operation was significantly less than that of the control group, the difference was statistically significant (P<0.05); The stone free rate of the two groups was not statistically significant (P>0.05). The complication rate of observation group was significantly higher than that of the control group, the difference was statistically significant (P<0.05). ConclusionBoth micro channel and standard channel percutaneous nephrolithotomy holmium laser lithotripsy can obtain rather good effect in the treatment of patients with complex multiple renal calculi, and each channel has its advantages. In order to achieve a better therapeutic effect and safety of operation, we should choose the suitable size of percutaneous renal channel, according to the stone size and distribution range.