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目的分析无管化经皮肾镜取石手术(PCNL)的疗效和安全性。方法将我院80例输尿管上段及肾结石患者随机分成两组各40例。对照组采取传统经皮肾镜取石术,留置双“J”管及肾造瘘管。试验组采用无管化经皮肾镜取石术,即只留置双“J”管,不留置肾造瘘管。比较两组术后疼痛和输血、发热几率及血红蛋白下降情况。结果试验组术后疼痛、血红蛋白下降量、输血率、发热发生率、肾周血肿发生率、住院时间等明显优于对照组(P<0.05)。结论无管化经皮肾镜取石手术治疗泌尿系结石,能有效提高取石成功率,减少并发症几率,缩短住院时间,安全、经济、有效,值得临床推广。
Objective To analyze the curative effect and safety of tubeless percutaneous nephrolithotomy (PCNL). Methods 80 cases of ureteral calculi in our hospital were randomly divided into two groups of 40 cases. The control group to take the traditional percutaneous nephrolithotomy, indwelling double “J ” tube and renal fistula. The experimental group using tubeless percutaneous nephrolithotomy, that is, leaving only double “J ” tube, indwelling renal fistula. The postoperative pain and blood transfusion, the risk of fever and hemoglobin decline were compared between the two groups. Results Postoperative pain, hemoglobin decrease, blood transfusion rate, incidence of fever, incidence of perihematomal hematoma and hospital stay in the experimental group were significantly better than those in the control group (P <0.05). Conclusion Percutaneous nephrolithotomy for the treatment of urinary calculi can effectively improve the success rate of stone removal, reduce the chance of complications and shorten the hospital stay, which is safe, economical and effective and worthy of clinical promotion.