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微创技术在上尿路结石治疗中的应用价值

The application value of minimally invasive technique in the treatment of upper urinary calculi
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摘要 目的:探讨微创经皮肾镜取石术(MPCNL)治疗上尿路结石的临床有效性和安全性。方法:2017年6月-2018年6月收治上尿路结石患者120例,分为两组,各60例。观察组接受MPCNL治疗,对照组接受常规经皮肾镜取石术(PCNL)。比较两组治疗效果。结果:观察组结石清除率明显高于对照组,术后并发症发生率明显低于对照组。观察组平均手术时间和平均住院时间均短于对照组,差异有统计学意义(P<0.05)。结论:MPCNL治疗上尿路结石疗效显著,安全性高。 Objective:To explore the clinical efficacy and safety of minimally invasive percutaneous nephrolithotomy in the treatment of upper urinary tract calculi.Methods:120 patients with upper urinary calculi were selected from June 2017 to June 2018,they were divided into the two groups with 60 cases in each group.The observation group was treated with MPCNL,while the control group received routine percutaneous nephrolithotomy.We compared the therapeutic effect of the two groups.Results:The stone removal rate of the observation group was significantly higher than that of the control group,the postoperative complication rate was significantly lower than that of the control group.The average operation time and average hospitalization time of the observation group were shorter than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Minimally invasive percutaneous nephrolithotomy is effective and safe in the treatment of upper urinary calculi.
作者 季洋 周裔 张羽 赵国红 Ji Yang;Zhou Yi;Zhang Yu;Zhao Guohong(Department of Urology Surgery,Jilin FAW General Hospital,Jilin Changchun 130011;Department of Colorectal and Anal Surgery,the Second Hospital of Jilin University,Jilin Changchun 130041)
出处 《中国社区医师》 2020年第1期41-42,共2页 Chinese Community Doctors
关键词 微创 经皮肾镜取石术 上尿路结石 Minimally invasive Percutaneous nephrolithotomy Upper urinary calculi
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