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目的探讨肾铸型结石合并脓肾采用经皮肾镜一期手术治疗临床效果。方法本次研究选择的对象共40例,均为我院2011年10月至2013年1月收治的肾铸型结石合并脓肾患者,均采用经皮肾镜一期手术治疗,回顾分析临床资料。结果本组40例患者中,30例结石一期手术取尽,占75%,仍有较多结石残留者10例,占25%,一期手术取尽患者占有较高比例,与二期比较差异有统计学意义(P<0.05)。术后加强随访,再次手术2例。结论肾铸型结石合并脓肾采用以皮肾镜一期治疗,具有一定的可行性和安全性,缩短了手术时间,减轻了患者通知,降低了经济负担,具有较高依从性,值得在临床广泛推广应用。
Objective To investigate the clinical effect of percutaneous nephrolithotomy on renal cast stones combined with purulent kidney. Methods The study selected a total of 40 patients, all of our hospital from October 2011 to January 2013 were treated with renal stone calculi with pus kidney patients were treated with percutaneous nephrolithotomy surgery, a retrospective analysis of clinical data . Results Of the 40 patients in this study, 30 cases of stone were surgically removed in one stage, accounting for 75%. There were still more residual stones in 10 cases, accounting for 25%. Patients in stage I underwent surgery with a higher proportion, compared with stage II The difference was statistically significant (P <0.05). Follow-up after surgery, surgery again in 2 cases. Conclusion Kidney-type calculi combined with purulent kidneys treated with primary nephrolithotomy have some feasibility and safety, shorten the operation time, reduce the patient notification, reduce the financial burden, with high compliance, it is worth in the clinic Widely used.