摘要
目的探究微创经皮肾镜手术治疗肾结石患者的临床效果。方法275例肾结石患者,通过随机数表法分为对照组(138例)和观察组(137例)。对照组给予常规通道经皮肾镜手术治疗,观察组给予微创经皮肾镜手术治疗。对比两组患者的手术指标(手术时间、术中出血量、造瘘时间、住院时间),不良事件发生情况,结石取净情况。结果观察组患者的手术时间(61.52±7.46)min、造瘘时间(5.17±1.81)d、住院时间(6.82±1.87)d短于对照组的(98.75±10.62)min、(10.86±2.74)d、(15.11±3.54)d,术中出血量(184.16±17.81)ml少于对照组的(477.68±81.62)ml,差异具有统计学意义(P<0.05)。观察组患者的不良事件发生率8.76%低于对照组的31.16%,差异具有统计学意义(P<0.05)。观察组患者的结石取净率81.75%高于对照组的55.07%,差异具有统计学意义(P<0.05)。结论采用微创经皮肾镜手术治疗肾结石患者,可显著减少术中出血量,缩短术后恢复时间,不良事件更少,同时可保持良好的结石取净率。
Objective To investigate the clinical effect of minimally invasive percutaneous nephrolithotomy in the treatment of patients with renal calculi.Methods A total of 275 patients with renal calculi were divided into control group(138 cases)and observation group(137 cases)according to random numerical table.The control group was treated with conventional percutaneous nephrolithotomy,and the observation group was treated with minimally invasive percutaneous nephrolithotomy.The surgical indicators(operation time,intraoperative blood loss,fistula time,hospitalization time),occurrence of adverse events,and calculi removal were compared between the two groups.Results The operation time(61.52±7.46)min,fistula time(5.17±1.81)d,hospitalization time(6.82±1.87)d of the observation group were shorter than(98.75±10.62)min,(10.86±2.74)d and(15.11±3.54)d of the control group,and intraoperative blood loss(184.16±17.81)ml was less than(477.68±81.62)ml of the control group.All the difference was statistically significant(P<0.05).The incidence of adverse events 8.76%of the observation group was lower than 31.16%of the control group,and the difference was statistically significant(P<0.05).The calculi removal rate 81.75%of the observation group was higher than 55.07%of the control group,and the difference was statistically significant(P<0.05).Conclusion Minimally invasive percutaneous nephrolithotomy can significantly reduce the intraoperative blood loss,shorten postoperative recovery time,with fewer adverse events and good stone removal rate.
作者
付现敏
FU Xian-min(Tancheng County First People’s Hospital,Linyi 276199,China)
出处
《中国实用医药》
2021年第18期51-53,共3页
China Practical Medicine
关键词
微创经皮肾镜手术
肾结石
临床效果
Minimally invasive percutaneous nephrolithotomy
Renal calculi
Clinical effect
