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目的探讨无积水肾结石患者采取微创治疗的临床效果。方法 90例无积水肾结石患者,随机分为对照组和研究组,各45例。对照组患者实施传统开放性手术治疗,研究组患者实施微创经皮肾镜取石术治疗,观察记录两组患者临床效果。结果研究组手术时间、出血量及住院时间分别为(78.45±11.43)min、(93.23±10.55)ml、(8.12±2.38)d,优于对照组的(101.83±19.87)min、(110.98±20.18)ml、(12.89±5.23)d,差异有统计学意义(P<0.05)。研究组并发症发生率为4.44%,显著低于对照组的17.78%,差异有统计学意义(P<0.05)。结论无积水肾结石患者采取微创经皮肾镜取石术治疗,不仅可以明显缩短手术时间,减少术中出血量,而且可以缩短住院时间,减少并发症发生,值得借鉴。
Objective To investigate the clinical effect of minimally invasive treatment of patients with hydronephrosis without kidney stones. Methods Ninety patients without hydronephrosis were randomly divided into control group and study group, with 45 cases in each group. Patients in the control group underwent open surgery. The patients in the study group were treated with minimally invasive percutaneous nephrolithotomy, and the clinical effects were observed and recorded in both groups. Results The operation time, bleeding volume and length of hospital stay in the study group were (78.45 ± 11.43) min, (93.23 ± 10.55) ml and (8.12 ± 2.38) d respectively, which were significantly higher than those in the control group (101.83 ± 19.87) min and (110.98 ± 20.18) ) ml, (12.89 ± 5.23) d, the difference was statistically significant (P <0.05). The incidence of complications in the study group was 4.44%, which was significantly lower than that in the control group (17.78%), the difference was statistically significant (P <0.05). Conclusion The minimally invasive percutaneous nephrolithotomy in patients without hydronephrosis can not only shorten the operation time and reduce the amount of intraoperative blood loss, but also shorten the length of hospital stay and reduce the occurrence of complications, which is worth learning from.