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目的探讨微创经皮肾镜取石术在上尿路结石治疗中应用价值。方法将我院上尿路结石患者160例分为对照组80例(统开放式手术)和微创组80例(微创经皮肾镜取石术),比较两组患者结石清除率、术后并发症发生率、平均手术时间、平均住院时间及术后患者尿液转清时间。结果微创组患者结石清除率明显高于对照组(P<0.05);术后并发症发生率、平均手术时间、平均住院时间及术后患者尿液转清时间均明显低于对照组(P<0.05)。结论微创经皮肾镜取石术治疗上尿路结石安全高效,能有效减少患者痛苦,减轻其经济负担,值得临床推广。
Objective To investigate the value of minimally invasive percutaneous nephrolithotomy in the treatment of upper urinary tract calculi. Methods One hundred and sixty patients with upper urinary tract stones in our hospital were divided into control group 80 cases (open open surgery) and minimally invasive group 80 cases (minimally invasive percutaneous nephrolithotomy). The stone clearance rate was compared between the two groups. Complication rate, average operation time, average length of stay and postoperative urinary clearance time. Results The stone removal rate in minimally invasive group was significantly higher than that in control group (P <0.05). The incidence of postoperative complications, average operation time, average length of hospital stay and postoperative urinary clearance time were significantly lower than those in control group (P <0.05). Conclusion Minimally invasive percutaneous nephrolithotomy for the treatment of upper urinary tract stones safe and efficient, can effectively reduce the suffering of patients and reduce their financial burden, worthy of clinical promotion.