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目的比较采用气压弹道联合超声碎石术与单纯气压弹道碎石术治疗肾结石的疗效及安全性。方法回顾性分析湖北医药学院附属东风医院2005年5月—2011年2月期间148例行经皮肾镜碎石术患者,按碎石方式分为单纯气压弹道碎石组(A组)和联合超声碎石气压弹道碎石组(B组),分析并比较患者结石的大小、位置、手术时间、住院天数、术后感染、出血等并发症、PCNL平均次数、一期结石清除率及总清除率。结果两组间结石大小、位置、PCNL平均次数、一期及总体结石清除率无明显差异(P>0.05);而B组手术时间,住院天数以及术后血红蛋白损失均明显低于A组(P<0.05)。所有患者均未出现气胸,胸腔积液等穿刺相关并发症,患者术后均无明显感染。结论联合超声及气压弹道碎石术能有效减少手术时间、住院天数和术后出血。较单纯气压弹道碎石术治疗效果更佳及更安全。
Objective To compare the efficacy and safety of pneumatic lithotripsy with ultrasonic lithotripsy and simple pneumatic lithotripsy in the treatment of kidney stones. Methods Retrospective analysis of 148 cases of percutaneous nephrolithotomy in Dongfeng Hospital Affiliated to Hubei Medical University from May 2005 to February 2011 were divided into simple pneumatic lithotripsy group (group A) and union Ultrasonic lithotripsy and pneumatic lithotripsy (group B) were performed. The size, location, operative time, length of hospital stay, postoperative infection, complications such as bleeding, average number of PCNL, primary stone clearance and total removal were analyzed and compared rate. Results There was no significant difference in the size, location, average number of PCNL, stage I and total stone clearance between the two groups (P> 0.05). However, the operation time, length of hospital stay, and postoperative hemoglobin loss in group B were significantly lower than those in group A <0.05). All patients did not appear pneumothorax, pleural effusion and other puncture-related complications, no obvious postoperative infection. Conclusion Combined ultrasound and pneumatic lithotripsy can effectively reduce the operation time, hospital stay and postoperative bleeding. More than simple pneumatic lithotripsy treatment effect is better and more secure.