经皮肾镜取石术与肾实质切开取石术治疗肾结石的效果比较
|
摘要
目的比较经皮肾镜取石术与肾实质切开取石术治疗肾结石的临床效果。方法将98例需行手术治疗的肾结石患者按手术方式不同分为2组:A组52例采用经皮肾镜取石术治疗,B组46例采用肾实质切开取石术治疗。比较2组的手术时间、术中出血量、术后下床活动时间、肾造瘘留管时间、术后住院时间、术后并发症发生率、复发率及临床疗效。结果 A组手术时间、术中出血量、术后下床活动时间、肾造瘘留管时间、术后住院时间及并发症发生率均显著低于B组,差异有统计学意义(P<0.05);2组术后复发率比较差异无统计学意义(P>0.05)。A组治愈率和总有效率均显著高于B组,差异有统计学意义(76.92%比26.09%、98.08%比89.13%,均P<0.05)。结论经皮肾镜取石术较肾实质切开取石术治疗肾结石手术效果更好,术后恢复更快,并发症更少,可作为治疗肾结石的优选术式。
Objective To compare the clinical effect of percutaneous nephrolithotomy and renal parenchyma lithotomy on kidney stone disease.Methods A total of 98 patients with kidney stones were assigned to receive percutaneous nephrolithotomy(group A,n=52)or renal parenchyma lithotomy(group B,n=46).The operation time,intraoperative blood loss,off-bed activity time,renal fistula retention time,postoperative hospital stay,incidence of postoperative complications,recurrence rate and clinical efficacy were compared between the two groups.Results Compared with group B,the operation time,intraoperative blood loss,off-bed activity time,renal fistula retention time,postoperative hospital stay and incidence of postoperative complications significantly decreased in group A(P<0.05).No significant difference in recurrence rate was found between the two groups(P>0.05).The cure rate and total effective rate in group A were significantly higher than that in group B(76.92% vs 26.09%and 98.08% vs 89.13%,respectively;P<0.05).Conclusion Compared with renal parenchyma lithotomy,percutaneous nephrolithotomy can accelerate recovery and reduce complications in patients with kidney stones.Therefore,percutaneous nephrolithotomy can be used as an optimal procedure for treating kidney stones.
Objective To compare the clinical effect of percutaneous nephrolithotomy and renal parenchyma lithotomy on kidney stone disease.Methods A total of 98 patients with kidney stones were assigned to receive percutaneous nephrolithotomy(group A,n=52)or renal parenchyma lithotomy(group B,n=46).The operation time,intraoperative blood loss,off-bed activity time,renal fistula retention time,postoperative hospital stay,incidence of postoperative complications,recurrence rate and clinical efficacy were compared between the two groups.Results Compared with group B,the operation time,intraoperative blood loss,off-bed activity time,renal fistula retention time,postoperative hospital stay and incidence of postoperative complications significantly decreased in group A(P<0.05).No significant difference in recurrence rate was found between the two groups(P>0.05).The cure rate and total effective rate in group A were significantly higher than that in group B(76.92% vs 26.09%and 98.08% vs 89.13%,respectively;P<0.05).Conclusion Compared with renal parenchyma lithotomy,percutaneous nephrolithotomy can accelerate recovery and reduce complications in patients with kidney stones.Therefore,percutaneous nephrolithotomy can be used as an optimal procedure for treating kidney stones.
引文
[1]廖树彬.经皮肾镜和肾实质切开取石术治疗肾结石的临床效果[J].临床医学研究与实践,2016,1(6):10-11.
[2]王海燕.肾脏病学[M].3版.北京:人民卫生出版社,2009:1815.
[3]王磊,徐学军,尹海军,等.微创经皮肾镜钬激光碎石术与开放性肾切开取石术治疗复杂性肾结石临床疗效比较[J].中国内镜杂志,2014,20(1):72-75.
[4]钱庆鹏,于广海,杜浩.后腹腔镜肾实质切开取石术治疗肾结石[J].中国医药科学,2015,5(4):182-184,190.
[5]黄祯.经皮肾镜取石术和肾实质切开取石术治疗肾结石疗效比较分析[J].河北医学,2014,20(12):2095-2098.
[6]蔡佳荣,孙其鹏,缪斌,等.微创经皮肾镜取石术治疗肾结石的临床研究[J].中国现代医生,2014,52(27):27-29.
[7]何大鹏,谢习颂,王忠,等.超声引导微创经皮肾镜取石术与肾窦内肾盂切开取石术治疗肾结石疗效分析[J].海南医学院学报,2013,19(4):507-509,513.
[8]安新伟.对比分析经皮肾镜取石术和肾实质切开取石术治疗肾结石的临床疗效[J].中国现代药物应用,2015,9(6):78-79.
[9]苏雁峰,李宋荣,史向民,等.多通道微创经皮肾镜取石术在铸型肾结石治疗中的应用[J].实用临床医药杂志,2015,19(3):70-72,91.
[2]王海燕.肾脏病学[M].3版.北京:人民卫生出版社,2009:1815.
[3]王磊,徐学军,尹海军,等.微创经皮肾镜钬激光碎石术与开放性肾切开取石术治疗复杂性肾结石临床疗效比较[J].中国内镜杂志,2014,20(1):72-75.
[4]钱庆鹏,于广海,杜浩.后腹腔镜肾实质切开取石术治疗肾结石[J].中国医药科学,2015,5(4):182-184,190.
[5]黄祯.经皮肾镜取石术和肾实质切开取石术治疗肾结石疗效比较分析[J].河北医学,2014,20(12):2095-2098.
[6]蔡佳荣,孙其鹏,缪斌,等.微创经皮肾镜取石术治疗肾结石的临床研究[J].中国现代医生,2014,52(27):27-29.
[7]何大鹏,谢习颂,王忠,等.超声引导微创经皮肾镜取石术与肾窦内肾盂切开取石术治疗肾结石疗效分析[J].海南医学院学报,2013,19(4):507-509,513.
[8]安新伟.对比分析经皮肾镜取石术和肾实质切开取石术治疗肾结石的临床疗效[J].中国现代药物应用,2015,9(6):78-79.
[9]苏雁峰,李宋荣,史向民,等.多通道微创经皮肾镜取石术在铸型肾结石治疗中的应用[J].实用临床医药杂志,2015,19(3):70-72,91.