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目的:就经皮肾镜碎石术治疗复杂性肾结石的临床疗效进行研究分析。方法:选择2014年1月至2015年1月时间段我院接收的60例复杂性肾结石患者,将他们划分成为研究组与对照组,各30例,对照组采取传统开放式手术治疗,研究组采取经皮肾镜碎石术治疗,就两个组别患者手术情况及不良反应情况进行比较分析。结果:研究组手术时长(67.3±9.8)min、术中出血量(109.3±24.2)ml、离床活动时间(33.1±13.2)h、住院时间(5.1±1.6)d及结石残留率6.7%相比对照组(103.1±14.2)min、(419.3±39.4)ml、(59.5±19.3)h、(9.8±3.1)d及23.3%明显更低,数据差异具备统计学意义(P<0.05);研究组不良反应发生率10.0%相比对照组33.3%明显更低,数据差异具有统计学意义(P<0.05)。结论:经皮肾镜碎石术使用于复杂性肾结石患者临床疗效理想,可有效缩短加快患者康复,缩减患者住院时间,安全可靠,无明显不良反应,具备推广借鉴价值。
Objective: To study the clinical efficacy of percutaneous nephrolithotomy in the treatment of complex renal calculus. Methods: Sixty patients with complicated nephrolithiasis who received in our hospital from January 2014 to January 2015 were selected and divided into study group and control group, with 30 cases in each group. The control group was treated by traditional open surgery. Group adopted percutaneous nephrolithotomy treatment, two groups of patients with surgical conditions and adverse reactions were compared. Results: The operation time (67.3 ± 9.8) min, intraoperative blood loss (109.3 ± 24.2) ml, time to bed activity (33.1 ± 13.2) h, length of hospital stay (5.1 ± 1.6) d and residual rate of stone 6.7% Which was significantly lower than that of the control group (103.1 ± 14.2) min, (419.3 ± 39.4) ml, (59.5 ± 19.3) h, (9.8 ± 3.1) d and 23.3% respectively, with statistical significance (P <0.05) The incidence of adverse reactions in group 10.0% was significantly lower than that in control group (33.3%), the difference was statistically significant (P <0.05). Conclusion: Percutaneous nephrolithotripsy is an ideal method for the treatment of patients with complex renal calculi. It can shorten the speed of patient rehabilitation, reduce the length of hospital stay, be safe and reliable, and have no obvious side effects. It is worth promoting.