王冬冬

[摘要] 目的 分析肾结石治疗中采用侧卧位微创经皮肾镜碎石术的临床治疗效果。方法 该研究方便选择该院收治的肾结石患者128例进行分析，选取时段为2012年5月—2016年5月期间，采用随机数字法进行平均分组，其中64例采用侧卧位微创经皮肾镜碎石术治疗的患者为实验组，而64例采用切开取石术治疗的患者为对照组，治疗后将2组患者的临床治疗效果进行比较和分析。结果 相较于对照组患者，实验组患者的术中出血量（86±11）mL明显较少，手术时间（110±15）min明显较少，并发症发生率（3.13%）明显较低，取石率（145±44）明显较高，住院时间（7.0±1.5）d明显较短，两组比较差异有统计学意义（P<0.05）。结论 在肾结石治疗中采用侧卧位微创经皮肾镜碎石术具有明显的治疗效果，在临床上值得应用和推广。

[关键词] 微创经皮肾镜碎石术；侧卧位；肾结石

[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）05（a）-0049-03

[Abstract] Objective To analyze the clinical effect of minimally invasive minimally invasive percutaneous nephrolithotripsy in the treatment of renal calculi. Methods In this study，Convenient selection 128 patients with renal calculi admitted to our hospital were analyzed. The time of selection was from May 2012 to May 2016. The patients were randomly divided into two groups. 64 patients were treated with minimally invasive percutaneous nephrolithotomy The patients treated with lithotripsy were the experimental group， while 64 patients were treated with incision lithotomy as the control group. After treatment， the clinical therapeutic effects of the two groups were compared and analyzed. Results Compared with the control group， the intraoperative blood loss （86±11） mL was significantly less in the experimental group， the operative time（110±15）min was significantly less， the complication rate （3.13%） was significantly lower（145±44） was significantly higher， the hospital stay （7.0±1.5）d was significantly shorter， the difference between the two groups were（P<0.05）. Conclusion In the treatment of kidney stones using lateral decubitus minimally invasive percutaneous nephrolithotomy has obvious therapeutic effect， worthy of clinical application and promotion.

[Key words] Minimally invasive percutaneous nephrolithotripsy；Lateral position；Kidney stones

腎结石作为一种常见的泌尿科疾病，男性患者比女性患者多，大部分患者呈现有较大的结石，较小的移动度，在患病前期症状并不明显，伴随病情发展，以血尿、腹胀、烦躁不安、恶心、呕吐、腰腹部绞痛为临床表现，对患者的生活质量造成严重的影响[1]。在临床治疗中一般采用外科手术方式进行治疗，但是采用何种手术方式治疗效果更佳值得研究。该院在临床实践中发现侧卧位微创经皮肾镜碎石术具有理想的治疗效果，该研究方便选取2012年5月—2016年5月期间该院收治的128例肾结石患者作为分析对象，对其应用价值进行进一步分析，现报道如下。

1 资料与方法

1.1 一般资料

该研究方便选择该院收治的肾结石患者128例进行分析……