论文部分内容阅读
目的:研究经皮肾镜取石术治疗肾结石的临床疗效与其术后出血的影响因素。方法:回顾性分析我院在2010年5月至2013年5月间收治的62例肾结石患者的临床资料,随机将患者分为两组,每组各31例病例,观察组采用经皮肾镜取石术治疗,对照组采用开放手术治疗,比较两组患者的手术时间、住院时间、术后发热、出血量情况,并对患者出血影响因素进行分析。结果:经研究了解到,观察组手术时间、住院时间与术中出血量均低于对照组,对比差异显著,具有统计学意义(P<0.05)。观察组中有30例患者治疗有效,总有效率为96.8%,对照组中有24例患者治疗有效,总有效率为77.4%,观察组治疗效果优于对照组,对比具有统计学意义(P<0.05)。患者出血影响因素主要有肾结石类型、肾功能、是否合并糖尿病。结论:经皮肾镜取石术对于肾结石患者的疾病治疗可起到重要作用,它能够缩短患者治疗时间,提升治疗效果,不过在术后需密切关注患者有无出血症状,从本次研究中可得知,肾结石类型、肾功能、是否合并糖尿病是影响患者出血的主要因素。
Objective: To study the clinical effect of percutaneous nephrolithotomy on renal calculi and the influencing factors of postoperative bleeding. Methods: The clinical data of 62 patients with nephrolithiasis admitted in our hospital from May 2010 to May 2013 were retrospectively analyzed. The patients were randomly divided into two groups of 31 cases each. The patients in the observation group were treated with percutaneous renal The patients in the control group were treated with open surgery. The operation time, hospitalization time, postoperative fever and blood loss were compared between the two groups. The influencing factors of bleeding were analyzed. Results: The study found that the observation group operation time, hospital stay and intraoperative bleeding were lower than the control group, the difference was significant, with statistical significance (P <0.05). In the observation group, 30 patients were treated effectively, with a total effective rate of 96.8%. In the control group, 24 patients were treated effectively and the total effective rate was 77.4%. The observation group had better treatment effect than the control group (P <0.05). The main influencing factors of patients with kidney stones, kidney function, whether with diabetes. Conclusion: Percutaneous nephrolithotomy can play an important role in the treatment of diseases in patients with kidney stones. It can shorten the treatment time and improve the curative effect. However, it is necessary to pay close attention to the patients with or without bleeding after the operation. From this study, It can be learned that the type of kidney stones, renal function, whether the merger of diabetes is the main factor affecting bleeding in patients.