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目的分析研讨经皮肾镜与开放手术治疗复杂性肾结石疾病的临床效果。方法用随机抽签方式,从我院2015年4月至2016年7月期间收治的复杂性肾结石患者中,抽取124例纳入到讨论中,用随机数字法分组,区分两组患者治疗方式,62例对照组(开放手术)和62例研究组(经皮肾镜治疗),观察各患者治疗状况,并对比。结果研究组并发症总发生率4.84%低于对照组12.90%,组间数据有统计学意义(P<0.05)。对比出血量、手术时间、首次下床时间、住院时间、术后发热率,研究组均低于对照组,对比结石清除率,研究组高于对照组,组间数据有统计学意义(P<0.05)。结论临床治疗复杂性肾结石疾病可考虑给予经皮肾镜手术,缩短住院时间,降低术后发热率和并发症发生率,结石清除率得到提高,值得推广和应用。
Objective To analyze and discuss the clinical effect of percutaneous nephrolithotomy and open surgery in the treatment of complicated nephrolithiasis. Methods A random sample of 124 patients with complex nephrolithiasis admitted from our hospital from April 2015 to July 2016 was included in the discussion. Random number method was used to divide the patients into two groups. 62 Cases of control group (open surgery) and 62 cases of study group (percutaneous nephrolithotomy), observe the treatment of patients, and compared. Results The overall incidence of complications in study group was 4.84% lower than that in control group (12.90%). The data of the two groups were statistically significant (P <0.05). Comparing the amount of bleeding, operation time, time to first bed, hospital stay and postoperative fever, the study group were lower than the control group, the ratio of stone clearance, the study group was higher than the control group, the data between the two groups was statistically significant (P < 0.05). Conclusions The clinical treatment of complicated nephrolithiasis may consider percutaneous nephrolithotomy to shorten the length of hospital stay, reduce the incidence of postoperative fever and complications, and improve the rate of stone clearance. It is worthy of popularization and application.