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目的:针对复杂性肾结石采用经皮肾镜与开放性手术治疗的效果进行对比分析。方法:抽取本院于2016年1月至2017年6月收治的100例复杂性肾结石患者进行研究,随机均分为观察组和对照组。对比两组患者各项临床指标、结石清除成功率、术后并发症发生率等多方面,并进行统计学分析。结果:经手术治疗,观察组患者的住院时间、手术时间、拔管时间、术中出血量及伤口长度等均显著高于对照组,组间差异明显(P<0.05),有统计学意义。并且观察组患者在术后并发症发生率方面明显低于对照组,组间差异明显(P<0.05),有统计学意义。结论:通过对两种手术方式治疗效果的对比分析发现,两组患者的手术成功率相差不明显,经皮肾镜手术患者手术时间更短,术中出血量更少,且术后并发症发生率更低。因此,值得在临床中应用及推广。
Objective: To compare and analyze the effect of percutaneous nephrolithotomy and open surgery on the complicated nephrolithiasis. Methods: A total of 100 patients with complex renal calculi admitted to our hospital from January 2016 to June 2017 were randomly divided into observation group and control group. Comparing the two groups of patients clinical indicators, the success rate of stone removal, the incidence of postoperative complications and many other aspects, and statistical analysis. Results: After operation, the hospitalization time, operation time, extubation time, intraoperative blood loss and wound length in the observation group were significantly higher than those in the control group. There was significant difference between the two groups (P <0.05). And the incidence of postoperative complications in the observation group was significantly lower than that in the control group, the difference was significant (P <0.05) between the two groups, with statistical significance. CONCLUSIONS: Through the comparison of the curative effect of the two surgical methods, it is found that there is no significant difference between the two groups in the success rate of operation, shorter operation time of percutaneous nephrolithotomy, less intraoperative blood loss and postoperative complications Lower rates. Therefore, it is worth in clinical application and promotion.