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目的观察上尿路结石合并感染患者应用微创经皮肾镜取石术治疗的效果。方法选取医院收治的上尿路结石合并感染患者268例为研究对象,随机分为观察组和对照组,每组134例。对照组患者行输尿管切开取石术治疗,观察组患者行微创经皮肾镜取石术治疗,比较2组的治疗效果。结果观察组术中出血量、手术时间及住院时间均少于对照组(P<0.01);观察组术后血脂指标、肝肾功能指标均优于对照组(P<0.01);观察组术后并发症发生率低于对照组(P<0.01)。结论针对上尿路结石合并感染患者,给予微创经皮肾镜取石术治疗可取得良好的效果,且安全性高,值得临床推广应用。
Objective To observe the effect of minimally invasive percutaneous nephrolithotomy on patients with upper urinary tract stones complicated with infection. Methods A total of 268 patients with upper urinary tract calculi complicated with infection admitted to the hospital were selected as study subjects and randomly divided into observation group and control group with 134 cases in each group. Patients in the control group underwent ureteral incision and lithotomy. The patients in the observation group were treated with minimally invasive percutaneous nephrolithotomy, and the treatment effect was compared between the two groups. Results The blood loss, operation time and hospital stay in the observation group were all less than those in the control group (P <0.01). The postoperative serum lipids and liver and kidney function indexes in the observation group were better than those in the control group (P <0.01) The complication rate was lower than that of the control group (P <0.01). Conclusion For patients with upper urinary tract stones complicated with infection, minimally invasive percutaneous nephrolithotomy can achieve good results and is safe and is worthy of clinical application.