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目的探讨B超引导下经皮肾镜取石术(PCNL)治疗肾结石的临床疗效。方法纳入中牟县人民医院泌尿外科2009年3月至2011年11月间复杂肾结石患者100例,按照随机对照的原则分为PCNL组和开放手术组,每组50例,比较两组手术疗效及术中、术后恢复情况。结果 PCNL组术后1个月结石为88.0%,开放手术组清除率为78.0%,两组比较差异有统计学意义(P<0.05)。PCNL组手术时间短于开放组,术中出血及术后并发症、下床活动时间、排气时间、住院时间均少于开放组,差异均有统计学意义(P<0.01)。结论 B超引导下经皮肾镜治疗肾结石安全、创伤小,术后更有利于患者快速康复。
Objective To investigate the clinical effect of percutaneous nephrolithotomy (PCNL) guided by B-ultrasound on renal calculi. Methods One hundred patients with complicated nephrolithiasis from March 2009 to November 2011 were enrolled in the Department of Urology, Zhongmou County People’s Hospital. According to the principle of randomized control, the patients were divided into PCNL group and open surgery group, 50 cases in each group. The curative effect and Intraoperative and postoperative recovery. Results The stones in the PCNL group were 88.0% one month after operation and the clearance rate was 78.0% in the open operation group. There was significant difference between the two groups (P <0.05). The operation time of PCNL group was shorter than that of open group, intraoperative bleeding and postoperative complications, ambulation time, exhaust time and hospitalization time were all less than those in open group (P <0.01). Conclusion B ultrasound-guided percutaneous nephrolithotomy safe kidney stones, trauma, postoperative more conducive to rapid recovery of patients.