摘要
目的探讨微创经皮肾镜取石术治疗肾结石的临床效果。方法选取2015年2月-2018年2月深圳龙岗区第四人民医院收治的肾结石患者102例为研究对象,按照入院编号分组为对照组50例和观察组52例。对照组实施常规开腹手术取石治疗,观察组实施微创经皮肾镜取石治疗。比较两组患者手术时间、术中出血量、住院时间、术后并发症发生率。结果观察组手术时间、住院时间短于对照组,术中出血量少于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论现代微创经皮肾镜用于治疗肾结石疾病,取石效果更加理想,患者手术时间和住院时间都得到明显缩短,且降低术中出血量和术后并发症发生率,具有积极的临床推广价值。
Objective To investigate the clinical effect of minimally invasive percutaneous nephrolithotomy in the treatment of renal calculi.Methods 102 patients with renal calculi treated in Longgang District Fourth People's Hospital of Shenzhen from February 2015 to February 2018 were selected as the study sub jects and divided into control group(50 cases) and observation group(52 cases)according to admission number.The control group received routine laparo tomy for stone removal treatment and the observation group received minimally invasive percutaneous nephrolithotomy.The operation time, intraoperative bleeding volume, hospitalization time and the incidence of postoperative complication were compared between the two groups.Results The operation time and hospitalization time of the observation group were shorter than those of the control group,the intraoperative bleeding volume was lower than that of the control group and the incidence of complication in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion Modern minimally invasive percutaneous nephrolithotomy is more effective in the treatment of renal calculi.It can significantly shorten the operation time and hospitalization time of patients,reduce the amount of intraoperative bleeding and the incidence of postoperative complication, and has positive clinic al popularization value.
引文
[1]叶继荣,叶青云,戴剑锋.超声引导微创经皮肾镜碎石取石术治疗复杂性肾结石的临床效果[J].中国当代医药,2017,12(4):185-186.
[2]李超文,黄勇平,黄群,等.侧卧位单通道微创经皮肾镜碎石取石术治疗儿童肾结石的临床分析[J].广西医学,2017,15(6):166-167.
[3]李小航,朱玮,李九智,等.不同肾盏穿刺微创经皮肾镜取石术治疗复杂性肾结石的疗效比较[J].临床泌尿外科杂志,2017(6):10-14.
[4]杨红.微创经皮肾镜取石术治疗肾结石疗效观察[J].淮海医药,2017,35(3):315-3 16.
[5]淡明江,彭文标,吕腾荣,等.超声引导微创经皮肾镜碎石取石术治疗复杂性肾结石的效果观察[J].中国实用医药,2017,36(22):168-169.
[6]仇存权.微创经皮肾镜取石术与开放手术治疗复杂性肾结石的有效性和安全性比较[J].医药前沿,2017,7(6):153-154.