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目的对比单孔穿刺造瘘与双孔穿刺造瘘治疗结石性脓肾的效果。方法选择2010年2月—2014年1月收治的结石性脓肾患者66例,随机分为单孔组和双孔组各33例,两组均在B超引导下经皮肾穿刺造瘘治疗。单孔组采用单孔穿刺造瘘,双孔组采用双孔穿刺造瘘。对比两组排脓时间、退热时间、造瘘后至取石时间、肾内残余结石情况及出血情况、住院时间。计量资料采用t检验,P<0.05为差异有统计学意义。结果单孔组排脓时间、退热时间、造瘘后至取石时间、肾内残余结石情况及出血情况、住院时间[(7.1±2.4)、(5.2±2.4)、(14.3±3.8)d、(4.1±1.3)个、(134±20)ml、(19.3±3.8)d]与双孔组[(4.7±1.3)、(3.0±1.2)、(10.0±4.2)d、(1.2±0.8)个、(50±15)ml、(14.2±3.3)d]比较差异均有统计学意义(均P<0.05)。结论双孔穿刺造瘘取石术肾内残余结石少、术中出血少、住院时间短,值得临床应用。
Objective To compare the effect of single-hole puncture ostomy and double-puncture ostomy for the treatment of calculous pus. Methods Sixty-six patients with calculous pyuric kidney who were admitted from February 2010 to January 2014 were randomly divided into single-hole group and double-hole group, 33 cases in each group. All patients underwent B-guided percutaneous nephrostomy . Single-hole group with a single hole puncture fistula, double-hole group with double puncture fistula. Contrast two groups of drainage time, antipyretic time, fistula to stone time, residual kidney stones and bleeding, hospitalization time. Measurement data using t test, P <0.05 for the difference was statistically significant. Results The results showed that the duration of hospitalization in the single-hole group was (7.1 ± 2.4), (5.2 ± 2.4) and (14.3 ± 3.8) days, the time of pyrexia, the time from the fistula to the stone extraction, the remaining calculus in the kidney and the bleeding, (4.1 ± 1.3), (134 ± 20) ml, (19.3 ± 3.8) d and (4.2 ± d), (± 0.8 ± 0.8) (50 ± 15) ml, (14.2 ± 3.3) d], respectively (all P <0.05). Conclusions Dual hole puncture ostomy lithotripsy less residual stones in the kidney, less bleeding, shorter hospital stay, it is worth clinical application.