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目的探讨经皮肾取石术与开放手术治疗部分性鹿角形肾结石的效果。方法 60例部分性鹿角形肾结石患者,随机分为观察组和对照组,各30例。观察组采用经皮肾取石术,对照组采用开放手术,比较两组治疗效果。结果观察组手术时间、出血量、住院时间、取净率、住院费用及并发症发生率、肾长度、切口周围不适发生率、复发率与对照组比较,差异有统计学意义(P<0.05);两组成功率、ECT指标比较差异无统计学意义(P>0.05)。结论采用经皮肾取石术治疗部分性鹿角肾结石安全、有效、创伤性小、复发率低,值得临床推广使用。
Objective To investigate the effect of percutaneous nephrolithotomy and open surgery on partial antler kidney stones. Methods Sixty patients with partial antler kidney stones were randomly divided into observation group and control group, 30 cases in each. The observation group was treated with percutaneous nephrolithotomy, and the control group was treated with open surgery. The therapeutic effect was compared between the two groups. Results The operation time, bleeding volume, length of hospital stay, net acquisition rate, incidence of hospitalization and complication, length of kidney, incidence of incision discomfort and recurrence rate in observation group were significantly different (P <0.05) There was no significant difference in success rate and ECT index between the two groups (P> 0.05). Conclusion Percutaneous nephrolithotomy for the treatment of partial antler nephrolithiasis is safe, effective, less traumatic and has a lower recurrence rate, which is worthy of clinical application.