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目的探讨微创经皮肾镜取石术应用价值。方法选取2011年3月-2013年3月我院肾结石患者144例,根据术式分为对照组55例和治疗组89例,对照组行传统开腹取石术,治疗组行微创经皮肾镜取石术,观察两组患者各临床指标。结果治疗组一期结石清除率91.01%,低于对照组的92.73%,组间差异无统计学意义(P>0.05);治疗组平均手术时间、下床活动时间、平均住院时间均明显短于对照组,平均术中出血量明显少于对照组,治疗组满意率高于对照组,复发率及并发症发生率少于对照组,组间差异均有统计学意义(P<0.05)。结论微创经皮肾镜取石术临床疗效佳、手术时间短、患者创伤小、并发症发生率低、患者住院时间短,值得推广。
Objective To investigate the value of minimally invasive percutaneous nephrolithotomy. Methods A total of 144 patients with nephrolithiasis in our hospital from March 2011 to March 2013 were divided into control group (n = 55) and treatment group (n = 89). The control group underwent conventional open-stone lithotomy. The treatment group received minimally invasive percutaneous Nephrolithotomy, observation of the two groups of patients with clinical indicators. Results The stone clearance rate of the first stage of the treatment group was 91.01%, which was lower than 92.73% of the control group, with no significant difference between the two groups (P> 0.05). The average operation time, bed ambulation time and average length of stay in the treatment group were significantly shorter The average blood loss in the control group was significantly less than that in the control group. The satisfaction rate of the treatment group was higher than that of the control group, and the recurrence rate and complication rate were less than those of the control group. There was significant difference between the two groups (P <0.05). Conclusion Minimally invasive percutaneous nephrolithotomy has good clinical curative effect, short operative time, small trauma, low complication rate and short hospital stay. It is worth to be popularized.