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目的探究经皮肾镜超声碎石清石术在治疗结石性脓肾中的应用效果。方法 64例结石性脓肾患者,按照治疗方式不同分成对照组和研究组,各32例。对照组行Ⅰ期经皮肾镜超声碎石清石术,研究组行Ⅰ期穿刺引流之后予以Ⅱ期经皮肾镜超声碎石清石术;比较两组炎性因子、住院时间与并发症情况。结果两组炎性因子水平比较,差异无统计学意义(P>0.05)。研究组住院时间(18.52±3.64)d显著长于对照组(13.47±3.31)d,差异有统计学意义(P<0.05);研究组并发症总发生率为6.25%,对照组并发症总发生率为9.38%,两组比较差异无统计学意义(P>0.05)。结论Ⅰ期及Ⅱ期经皮肾镜超声碎石清石术治疗结石性脓肾均具良好治疗效果,其中行Ⅰ期治疗可缩短住院时间,减轻患者经济负担。
Objective To explore the application of percutaneous nephrolithotomy lithotripsy in the treatment of calculous pyogenic kidney. Methods Sixty - four patients with calculous pyogenic kidney were divided into control group and study group according to different treatment methods, with 32 cases in each group. The control group received stage I percutaneous nephrolithotomy lithotripsy, and the study group received stage I percutaneous puncturation and renal lithography lithotripsy. The inflammatory factors, length of hospital stay and complications Happening. Results There was no significant difference in the levels of inflammatory cytokines between the two groups (P> 0.05). The length of hospital stay in the study group was significantly longer than that in the control group (18.52 ± 3.64) d (13.47 ± 3.31) d (P <0.05). The total complication rate in the study group was 6.25% 9.38%, there was no significant difference between the two groups (P> 0.05). Conclusions Stage Ⅰ and Ⅱ percutaneous nephrolithotomy lithotripsy are effective in treating calculous pyogenic kidney, of which stage Ⅰ treatment can shorten the length of hospital stay and reduce the economic burden of patients.