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目的:探讨复杂肾结石采用微创经皮肾镜穿刺取石术与开放手术的临床效果。方法:选择我院2008年5月至2011年5月收治的复杂肾结石患者80例,随机分为两组,观察组40例采用开放手术治疗,对照组40例采用微创经皮肾镜穿刺取石术,就两组临床资料进行回顾性分析。结果:两组手术均成功完成,观察组输血率、术中出血量、手术时间、结石清除率、治疗总费用情况均优于对照组,差异有统计学意义(P<0.05)。结论:复杂肾结石采用开放手术治疗,具有一定的安全性和有效性,降低了手术费用,提高了结石清除术,缩短了手术时间、减少了术中出血量,最大程度的改善了患者的生存质量。
Objective: To investigate the clinical effect of minimally invasive percutaneous nephrolithotomy and open surgery on complex nephrolithiasis. Methods: Eighty patients with complex nephrolithiasis who were admitted to our hospital from May 2008 to May 2011 were randomly divided into two groups. Forty cases in the observation group were treated with open surgery. 40 cases in the control group were treated with minimally invasive percutaneous nephrolithotomy Stone surgery, two sets of clinical data were retrospectively analyzed. Results: The two groups of operation were successfully completed. The blood transfusion rate, intraoperative blood loss, operation time, stone removal rate and total cost of treatment in the observation group were all better than those in the control group (P <0.05). Conclusion: The treatment of complex renal calculi with open surgery has some safety and effectiveness, reduces the cost of operation, improves the stone removal, shortens the operation time, reduces the amount of intraoperative blood loss and maximally improves the patient’s survival quality.