论文部分内容阅读
目的:探讨开放性手术与经皮肾标准通道手术在复杂性肾结石治疗中的疗效对比;方法:选取我院复杂性肾结石患者54例,根据其实际情况分别给予33例患者经皮肾标准通道治疗,21例开放性手术治疗,对两种手术治疗的术后并发症、术中情况以及住院睛况、随访结果等进行对比;结果:采用经皮肾标准通道手术治疗,患者的术中出血量、手术时间以及住院时间均比开放手术组少,但其治疗费用却远远高于开放手术组;经皮肾标准通道手术治疗组的术后并发症发生率为24.24%,开放手术组术后并发症发生率为38.10%;经皮肾标准道手术治疗组的血清肌酐浓度更加稳定,并没有较大浮动;结论:经皮肾标准通道手术治疗是一种价格高昂的治疗方法,尽管这种方法效果更加显著且并发症更少,但若针对经济较为困难的患者则可选择开放性手术进行治疗。
Objective: To investigate the curative effect of open surgery and percutaneous standard renal access surgery in complicated nephrolithiasis. Methods: Fifty-four patients with complex nephrolithiasis were selected according to their actual conditions, and 33 patients were given percutaneous nephrolithiasis After 21 cases of open surgery were treated, the complication, intraoperative status, hospitalization and follow-up were compared between the two kinds of surgery. Results: Bleeding time, operation time and hospital stay were less than those in open surgery group, but the cost was much higher than that in open surgery group. The incidence of postoperative complications was 24.24% in open surgery group, The incidence of postoperative complications was 38.10%. The serum creatinine concentration in the percutaneous nephrostomy group was more stable and did not fluctuate significantly. CONCLUSION: Percutaneous nephrostomy is an expensive method of treatment. This approach is more effective and has fewer complications, but open surgery can be the treatment for more economically challenging patients.