论文部分内容阅读
目的:分析孤立肾多发结石患者超声引导微创经皮肾穿刺取石术治疗的效果。方法:64例孤立肾多发结石患者随机均分为试验组和对照组。其中对照组患者均采用常规开放式取石术治疗,试验组患者则在超声引导下实施微创经皮肾穿刺取石术治疗。比较两组患者的手术时间和术中出血量以及术后取净率等临床资料。结果:两组患者的手术时间并无明显差异(t=1.942,P>0.05)且试验组患者的术后取净率和术后两个月排净率均显著高于对照组患者(t=4.731,P<0.05,t=4.288,P<0.05);对照组患者的并发症发生率显著高于试验组患者(t=4.333,P<0.05);试验组患者的术中出血量显著低于对照组(t=3.762,P<0.01)。两组患者术前术后以及术后2个月的血肌酐水平比较均无明显差异(均P>0.05),并且两组患者血肌酐水平组间比较亦无明显差异(均P>0.05)。结论:超声引导下对孤立肾多发结石患者实施微创经皮肾穿刺取石术治疗具有较高的安全性和临床疗效。
Objective: To analyze the effect of ultrasound guided minimally invasive percutaneous nephrolithotomy in patients with solitary kidney stone. Methods: A total of 64 patients with isolated kidney stones were randomly divided into experimental group and control group. Patients in the control group were treated with conventional open lithotripsy, while those in the test group were treated with minimally invasive percutaneous nephrolithotomy under the guidance of ultrasound. The clinical data of two groups were compared, such as operation time, intraoperative blood loss and postoperative rate of taking net. Results: There was no significant difference in operative time between the two groups (t = 1.942, P> 0.05). The postoperative net acquisition rate and postoperative two months net release rate in the two groups were significantly higher than those in the control group (t = 4.731, P <0.05, t = 4.288, P <0.05). The incidence of complications in the control group was significantly higher than that in the experimental group (t = 4.333, P <0.05) Control group (t = 3.762, P <0.01). There was no significant difference in serum creatinine between the two groups before and after operation and 2 months after operation (all P> 0.05). There was no significant difference between the two groups in serum creatinine (P> 0.05). CONCLUSION: Ultrasound-guided treatment of patients with solitary kidney multiple stone with minimally invasive percutaneous nephrolithotomy has high safety and clinical efficacy.