Clinical studies of minimally invasive percutaneous nephrolithotomy in treatment of kidney stones
- VernacularTitle:微创经皮肾镜取石术治疗肾结石的临床研究
- Author:
Jiarong CAI
1
;
Qipeng SUN
;
Bin MIAO
;
Fei YANG
;
WANG
;
Tengcheng LI YU
;
Hailun ZHAN
;
Xiangfu ZHOU
Author Information
1. 中山大学附属第三医院岭南医院泌尿外科
- Keywords:
Kidney stones;
Percutaneous nephrolithotomy surgery;
Minimally invasive;
Complications
- From:
China Modern Doctor
2014;(27):27-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare and analyze the effect of minimally invasive percutaneous nephrolithotomy compare with traditional open surgical in treatment of kidney stones outcome. Methods Selected 120 patients with kidney stones from January 2009 to January 2014 in our hospital, all patients had complete clinical data, included 60 cases of renal sinus traditional lines pelvis lithotomy, established as the control group, and the remaining 60 routine minimally inva-sive percutaneous nephrolithotomy surgery, set up minimally invasive group, the operative time, blood loss, postoperative fistula time and hospital stay and complications were compared between two groups. Results 60 patients with invasive group homogeneity of puncture success and smooth gravel, stone successful in 58 cases, the success rate was 96.7%(58/60). Intraoperative complications pneumothorax, colon injury does not appear, one-time stone clearance rate was 80.0%(48/60). Stable vital signs after surgery, no nephrectomy, severe complications wound fistula, pneumothorax oc-curred. 4 cases of postoperative urinary tract infection sustained high fever, anti-infection cure. 1 case duodenal injury control group intraoperative peritoneal injury in 2 cases, 2 cases of postoperative fever, intestinal fistula, urinary tract infection in 8 cases. Operative time, blood loss, postoperative fistula compare the time and duration of hospitalization, of observation group improved significant than the control group, the difference was statistically significant (P<0.05 or P<0.01). Conclusion Minimally invasive percutaneous nephrolithotomy in the treatment of kidney stones with less trau-ma, less bleeding, fewer complications, shorter hospital stays and can be worthy of promotion and application.
