摘要
目的探讨微创经皮肾镜取石术在复杂性泌尿系统结石治疗中的应用效果。方法选取2019年6月-2021年6月收治的80例复杂性泌尿系统结石患者为研究对象,并按照随机数字表法将所有患者分为对照组和观察组,对照组采用传统开放式手术进行治疗,观察组微创经皮肾镜取石术进行治疗,对比两组手术时长、术中出血量、首次下床活动时间、住院时间、临床疗效、治疗前后炎性因子水平以及不良反应情况等。结果观察组手术相关指标均优于对照组(P<0.05),且治疗总有效率更高(P<0.05),同时经治疗后,观察组各项炎性因子水平均显著低于对照组(P<0.05);相比对照组,术后并发症发生率更低(P<0.05)。结论应用微创经皮肾镜取石术对复杂性泌尿系统结石进行治疗,具有较为显著的治疗效果,值得临床上推广应用。
Objective To investigate the application effect of minimally invasive percutaneous nephrolithotomy in the treatment of complicated urinary calculi.Methods A total of 80 patients with complicated urinary calculi admitted to our hospital from June 2019 to June 2021 were selected as the research objects,and all patients were divided into control group and observation group according to random number table method.The control group was treated with traditional open surgery,and the observation group was treated with minimally invasive percutaneous nephrolithotomy.Duration of operation,intraoperative blood loss,time of first ambulation,length of hospital stay,clinical efficacy,inflammatory factors levels and adverse reactions before and after treatment were compared between the two groups.Results Operation related indexes in the observation group were better than those in the control group(P<0.05),and the total effective rate was higher(P<0.05).After treatment,the levels of inflammatory factors in the observation group were significantly lower than those in the control group(P<0.05).Compared with the control group,the incidence of postoperative complications was lower(P<0.05).Conclusions Minimally invasive percutaneous nephrolithotomy is effective in the treatment of complicated urinary calculi,which is worthy of clinical application.
作者
吴永超
张锐
WU Yongchao;ZHANG Rui(Department of Urology,Ezhou Second Hospital,Ezhou 436000,China)
出处
《航空航天医学杂志》
2022年第7期789-792,共4页
Journal of Aerospace medicine
关键词
复杂性泌尿系统结石
微创手术
开放手术
治疗效果
complex urolithiasis
Minimally invasive surgery
Open surgery
Treatment effect
