摘要
目的探讨无管化微创经皮肾镜取石术治疗上尿路结石的安全性及有效性。方法选取我院2009年3月～2012年3月期间收治的上尿路结石患者，将患者随机分为研究组和对照组。对照组行标准经皮。肾镜取石术，研究组行无管化经皮肾镜取石术。结果与对照组相比，研究组患者的平均手术时间和平均住院时间均明显缩短，而平均出血量则明显减少，术后发热、术后镇痛、术后输血的比例均显著降低，差异均具有统计学意义（P〈0．05）。结论无管化MPCNL手术安全有效，可减轻患者术后疼痛，缩短住院时间，降低医疗费用。
Objective To investigate the safety and efficacy of tubeless minimally invasive percutaneous nephrolithoto my lithotomy in treatment of upper urinary tract calculus. Methods Selected March 2009 to March 2012, upper uri nary tract stones patients in our hospital. The patients were divided into study group and control group randomly. The patients in control group were treated with standard percutaneous nephrolithotomy lithotripsy. The patients in study group were treated with tubeless pereutaneous nephrolithotomy lithotomy. Results Compared with control group, the patients in study group the average operative time and length of stay was shorter significantly, the average blood loss was reduced significantly, the rates of postoperative fever, postoperative analgesia, postoperative transfusion were lower significantly, there were statistically significant difference （P 〈 0.05）. Conclusion Tubeless MPCNL is safe and effective, can reduce postoperative pain, shorten hospital stays, reduce medical costs.
出处
《中国现代医生》
2013年第26期159-160,共2页
China Modern Doctor
关键词
上尿路结石
微创经皮肾镜取石术
完全无管化
Upper urinary tract stones
Minimally invasive percutaneous nephrolithotomy lithotomy
Complete tubeless
