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目的:探讨复杂肾结石患者采用多通道经皮肾输尿管镜取石术治疗的疗效。方法:选取2013年1月至2016年1月嘉应学院医学院附属医院收治的复杂肾结石患者82例,随机分为两组各41例。对照组给予单通道经皮肾输尿管镜取石术治疗,观察组给予多通道经皮肾输尿管镜取石术治疗,对比两组患者疗效。结果:观察组一次取石率和结石清除率均高于对照组,差异具有统计学意义(P<0.05);观察组手术时间长于对照组,住院时间短于对照组,差异具有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:复杂肾结石患者采用多通道经皮肾输尿管镜取石术治疗可明显提高一次取石率和结石清除率,缩短住院时间,且并发症少。
Objective: To investigate the curative effect of multi-channel percutaneous nephroureterolithotomy in complex nephrolithiasis patients. Methods: From January 2013 to January 2016, 82 patients with complex nephrolithiasis admitted to Jiaying University Medical College Affiliated Hospital were randomly divided into two groups of 41 cases. The control group received single-channel percutaneous nephrolithotomy lithotripsy, the observation group was given multi-channel percutaneous nephroureterectomy lithotripsy, compared the efficacy of two groups of patients. Results: The rate of stone removal and stone removal in the observation group were significantly higher than those in the control group (P <0.05). The operation time in the observation group was longer than that in the control group, and the length of stay in the observation group was shorter than that in the control group (P <0.05) <0.05). There was no significant difference in the complication rates between the two groups (P> 0.05). Conclusion: The treatment of complex renal calculi by multi-channel percutaneous nephroureterectomy can significantly improve the rate of stone removal and stone removal, shorten the hospital stay, and less complications.