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目的探讨经皮肾镜气压弹道碎石、清石术治疗肾结石的临床方法及效果。方法选取本院自2011年2月~2013年2月收治的96例肾结石患者随即分为观察组与参考组,各为48例,观察组患者采用经皮肾镜气压弹道碎石、清石术进行治疗,参考组患者采用开放手术方式进行治疗,比较两组患者的平均手术时间、结石1次清除率、术中出血量及术后并发症。结果观察组患者结石1次清除率明显优于参考组,P<0.05,观察组患者平均时间、术中出血量明显少于参考组,P<0.05;但术后并发症较多。结论经皮肾镜气压弹道碎石清石术治疗肾结石手术手术时间短,结石清除率高,临床效果显著,但术后并发症率较高。
Objective To explore the clinical methods and effects of percutaneous nephrolithotracheal lithotripsy and clear stone surgery on kidney stones. Methods A total of 96 patients with nephrolithiasis admitted to our hospital from February 2011 to February 2013 were randomly divided into observation group and reference group, each with 48 cases. Patients in observation group were treated with percutaneous nephrolithotracheal lithotripsy and clear stone The patients in the reference group were treated by open surgery. The average operation time, primary clearance rate, intraoperative blood loss and postoperative complications were compared between the two groups. Results The clearance rate of stones in the observation group was significantly better than that of the reference group (P <0.05). The average time of the observation group and the blood loss in the observation group were significantly less than those in the reference group (P <0.05). However, there were more postoperative complications. Conclusion Percutaneous nephrolithotracheal lithotripsy for the treatment of nephrolithotomy has a short operative time, high rate of stone removal and significant clinical effect, but the postoperative complication rate is high.