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目的针对肾结石患者采用标准通道经皮肾镜取石术的方法进行治疗,并观察分析其治疗的临床效果。方法选择在本院接受治疗的112例肾结石患者,随机分成观察组与对照组,对照组采用微通道经皮肾镜取石术(MPCNL)的方法,观察组采用标准通道经皮肾镜取石术(SPCNL)的方法,将两组患者手术时间、术中出血量、不良反应发生率以及结石残留率与清除率。结果观察组的术中出血量与手术时间明显少于对照组的出血量与手术时间,其差异具有统计学意义(P<0.05);但两组患者的不良反应发生率、结石残留率与清除率无明显差异(P>0.05)。结论 SPCNL相比于MPCNL在手术时间与术中出血量方面具有明显的优势,但两种方法在结石清除率与不良反应方面不具有差距,患者应根据自身情况选择合适的方法。
Objective To treat patients with nephrolithiasis by standard-channel percutaneous nephrolithotomy and observe the clinical effect of the treatment. Methods One hundred and twelve patients with nephrolithiasis who were treated in our hospital were randomly divided into observation group and control group. The control group was treated by micro channel percutaneous nephrolithotomy (MPCNL). The patients in observation group were treated by standard percutaneous nephrolithotomy (SPCNL) method, the two groups of patients operating time, blood loss, the incidence of adverse reactions and residual rate and clearance of stones. Results The intraoperative blood loss and operation time in the observation group were significantly less than those in the control group. The difference was statistically significant (P <0.05). However, the incidence of adverse reactions, residual rate and clearance of stones There was no significant difference (P> 0.05). Conclusion SPCNL has obvious advantages in terms of operation time and intraoperative blood loss compared with MPCNL. However, there is no difference between the two methods in stone clearance and adverse reactions. Patients should choose the appropriate method according to their own circumstances.