高学林 郑万祥 惠强 王福利

【摘  要】目的：研究分析微通道经皮肾镜碎石取石术（Mi-PCNL）与标准通到经皮肾镜碎石取石术（PCNL）两种术式治疗肾结石的临床效果与其应用价值。方法：将2018年8月-2019年8月期间在本院诊断为肾结石并行经皮肾镜碎石取石术的80例患者纳入研究，其中行微通道经皮肾镜碎石清石术40例，行标准经皮肾镜碎石取石40例。比较两组患者的年龄，结石大小，左右侧，术中出血，手术时间，住院时间及术后清石率等情况。结果：研究组患者的术中出血优于对照组，P<0.05;两者患者年龄，结石大小，左右侧及术后并发症无统计学意义，P>0.05。结论：微通道经皮肾镜碎石取石术治疗肾结石，虽手术时间长，清石率低，但较标准通道出血少，术后恢复快，应用价值显著，临床医生可根据患者的实际情况进行选择。

【关键词】微通道经皮肾取石术;标准通道经皮肾镜取石术;肾结石

【中图分类号】R699.2     【文献标识码】A      【文章编号】1672-3783（2019）12-0112-01

【Abstract】objective：to study the clinical effect and application value of microchannel percutaneous lithotripsy （mi-pcnl） and standard percutaneous percutaneous lithotripsy （PCNL） in the treatment of kidney stones. Methods：80 patients who were diagnosed with renal calculus and underwent percutaneous nephrolithotomy in our hospital from August 2018 to August 2019 were included in the study， including 40 patients who underwent microchannel percutaneous nephrolithotomy and 40 patients who underwent standard percutaneous nephrolithotomy. Age， stone size， left and right sides， intraoperative bleeding， operation time， length of stay， postoperative complications and stone removal rate were compared between the two groups. Results：the preoperative and postoperative indexes of the study group were better than those of the control group （P < 0.05）. There was no significant difference in age， size of calculi， left and right side and postoperative complications between the two patients （P > 0.05）. Conclusion：microchannel percutaneous nephrolithotomy for the treatment of kidney stones， although the operation time is long， stone removal rate is low， but less bleeding than the standard channel， postoperative recovery is faster， the application value is significant， clinicians can choose according to the actual situation of patients.

【Key words】minimally invasive percutaneous nephrolithotomy; Standard channel percutaneous nephrolithotomy; Kidney stones

肾结石是泌尿系疾病中常见病，多发病，其发病机制尚不清楚，多数学者认为部分结晶物质在肾脏内不断沉淀堆积形成结石。随着医学的进步，微创手术逐渐取代开刀手术成为治疗肾结石的主要方式，本文主要研究分析微通道经皮肾镜碎石取石术与标准通道经皮肾碎石取石术两种微创术式治疗肾结石患者的临床效果与其应用价值，现汇报如下。

1 资料与方法

1.1 一般资料

将2018年8月-2019年8月期间在本院诊断为肾结石并行经皮肾镜碎石取石术的80例患者纳入研究，其中行微通道经皮肾镜碎石清石术40例;标准通到经皮肾镜碎石取石术的肾结石患者40例为对照组。……