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目的:评价抗感染治疗与经皮肾镜取石术对上尿路结石伴有感染患者的临床疗效。方法:选取医院2015年8月—2016年8月期间收治的上尿路结石伴感染患者72例,采用随机数字表法将其分为观察组与对照组,每组36例;观察组患者给予抗感染治疗后与经皮肾镜取石术治疗,对照组患者给予抗感染治疗后与传统后腹腔镜输尿管切开取石术治疗,比较两组患者治疗后的感染的发生率。结果:用药后,观察组患者手术时间、住院时间与术中出血量明显少于对照组(P<0.05);观察组患者治疗后并发症的发生率为5.56%明显低于对照组为27.78%(P<0.05)。结论:采用抗感染治疗和经皮肾镜取石术对上尿路结石伴感染患者的临床疗效较确切,并发症发的生率较低。
Objective: To evaluate the clinical effect of anti-infective therapy and percutaneous nephrolithotomy on patients with upper urinary tract stones. Methods: Seventy-two patients with upper urinary tract calculi associated with infection in hospital from August 2015 to August 2016 were selected and divided into observation group and control group by random number table method, with 36 cases in each group. Patients in observation group were given After anti-infective therapy and percutaneous nephrolithotomy, patients in the control group were treated with anti-infective therapy and conventional retroperitoneal laparoscopic ureterolithotomy, and the incidence of post-treatment infection was compared between the two groups. Results: After treatment, the operation time, hospital stay and intraoperative blood loss in the observation group were significantly less than those in the control group (P <0.05). The incidence of postoperative complications in the observation group was 5.56%, significantly lower than that in the control group (27.78% (P <0.05). Conclusion: The anti-infective therapy and percutaneous nephrolithotomy are more effective in the treatment of upper urinary tract stones with infection, and the incidence of complications is low.