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目的分析经皮肾镜取石术(PCNL)治疗复杂性结石的临床效果,为临床医学提供依据。方法 76例复杂性肾结石患者,依照患者意愿分为PCNL组和对照组,各38例,PCNL组采取经皮肾镜取石术治疗,对照组患者采取开放性手术治疗,比较分析两组患者的出血量、住院时间以及并发症等。结果 PCNL组患者术中出血量以及住院时间明显小于对照组,差异具有统计学意义(P<0.05),PCNL组患者术后血清肌酐浓度(82.64±13.46)μmol/L明显低于对照组(99.97±18.64)μmol/L,差异具有统计学意义(P<0.05),PCNL组的并发症发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论 PCNL术治疗复杂性肾结石,具有并发症少,对患者身体损害小的优点。
Objective To analyze the clinical effect of percutaneous nephrolithotomy (PCNL) in the treatment of complex calculus and provide the basis for clinical medicine. Methods 76 patients with complicated nephrolithiasis were divided into PCNL group and control group according to patients’ wishes, 38 cases in each group. PCNL group was treated by percutaneous nephrolithotomy, while in control group, open surgery was performed. The patients in two groups were compared Bleeding, hospital stay and complications. Results The intraoperative blood loss and hospital stay in PCNL group were significantly lower than those in control group (P <0.05). The postoperative serum creatinine level in PCNL group (82.64 ± 13.46) μmol / L was significantly lower than that in control group (99.97 ± 18.64) μmol / L, the difference was statistically significant (P <0.05). The incidence of complications in PCNL group was significantly lower than that in control group, with statistical significance (P <0.05). Conclusion PCNL treatment of complex kidney stones, with fewer complications, the advantages of small body damage to patients.