摘要
目的探讨经皮肾镜碎石取石术与开放手术治疗肾结石的效果。方法选取我院2014年1月~2017年1月收治的100例肾结石患者作为研究对象,根据手术方式不同分为观察组(50例)和对照组(50例)。观察组实施经皮肾镜碎石取石术,对照组实施开放手术治疗,比较两组治疗后的并发症发生率、住院时间、出血量、手术时间、术后排气时间、结石清除率、总有效率。结果观察组的并发症总发生率(8.00%)低于对照组(20.00%)(P<0.05);观察组的住院时间为(10.21±2.01)d、手术时间为(70.21±1.45)min、术后排气时间为(28.15±4.01)h均短于对照组(P<0.05),出血量[(70.25±5.01)ml]少于对照组(P<0.05);观察组的结石清除率(92.00%)高于对照组(76.00%)(P<0.05);观察组总有效率(92.00%)高于对照组(70.00%),差异均有统计学意义(P<0.05)。结论对肾结石患者实施经皮肾镜碎石取石术,效果显著,能降低患者并发症,住院时间短、出血量少以及手术时间短等特点,能促进患者术后较快康复,值得临床推广应用。
Objective To investigate the effect of pereutaneous nephrolithotomy and open surgery in the treatment of renal calculi. Methods A total of 100 cases of renal calculi treated in our hospital from January 2014 to January 2017 were selected as the research subjects. According to the different surgical methods, the patients were divided into the observation group （50 cases） and the control group （50 cases）, the observation group was treated with pereutaneous nephrolithotomy, and the control group was treated with open operation. The incidence of complications, hospitalization time, bleeding volume, operative time, postoperative exhaust time, stone clearance rate and total effective rate were compared between the two groups. Results The total incidence of complications in the observation group was 8.00%, which was lower than that of the control group （20.00%） （P〈0.05）. The hospitalization time （[10.21±2.01] d）, hemor- rhage （[70.25±5.01] ml）, operation time （[70.21±1.45] min） and postoperative exhaust time （[28.15±4.01] h） in the ob- servation group were shorter than those in the control group （P〈0.05）, hemorrhage （[70.25±5.01] ml） in the observation group was lesser than those in the control group （76.00%） （P〈0.05）; stone clearance rate of renal calculi in the obser- vation group was 92.00%, which was higher than that of the control group （P〈0.05）, and the total effective rate of renal calculi in the observation group was 92% higher than thosevof the control group of 70.00%, the differences were statis- tically significant （P 〈0.05）. Conclusion After the pereutaneous nephrolithotomy lithotripsy for patients with nephrolithiasis, a significant effect can be achieved. It can reduce the complications of the patients, have short hospital- ization time, less bleeding and short operation time. It can promote the patient to recover quickly after operation, which is worthy of application.
作者
罗凌坚
L UO Ling-jian(Department of Urology,Ji＇an Central People＇s Hospital,Jiangxi Province,Ji＇an 343000,China)
出处
《中国当代医药》
2018年第28期88-90,共3页
China Modern Medicine
关键词
肾结石
经皮肾镜碎石取石术
开放手术
Kidney stones
Percutaneous nephrolithotomy lithotripsy
Open surgery
