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目的:探讨改良经皮肾镜钬激光碎石术治疗复杂肾结石的临床效果。方法:以收治的80例复杂肾结石患者作为研究对象,将其随机分为对照组与观察组,对照组采用开放性取石术治疗,观察组采用改良经皮肾镜钬激光碎石术治疗。对比分析两组患者手术时间、术中出血量、结石清除效果、住院时间等。结果:观察组治疗总有效率为97.5%,结石清除率为87.5%,明显高于对照组的80.0%、52.5%,P<0.05;观察组手术时间、术中出血量、住院时间、术后疼痛、发热情况优于对照组,差异有统计学意义(P<0.05)。结论:与开放性取石术相比,改良经皮肾镜钬激光碎石术治疗复杂肾结石的效果更佳,具有结石清除率高,手术时间短、术中出血量少的优势,可缩短住院时间,促进患者尽快康复,具有较高应用价值。
Objective: To investigate the clinical effect of modified percutaneous nephrolithotomy holmium laser lithotripsy in the treatment of complicated nephrolithiasis. Methods: Eighty patients with complicated nephrolithiasis were enrolled in this study. They were randomly divided into control group and observation group. The control group was treated by open lithotripsy. The observation group was treated by improved percutaneous nephrolithotomy with holmium laser lithotripsy. The operative time, intraoperative blood loss, stone removal and hospitalization time were compared between the two groups. Results: The total effective rate of observation group was 97.5%, stone clearance rate was 87.5%, which was significantly higher than that of control group (80.0%, 52.5%, P <0.05). The operation time, intraoperative blood loss, hospitalization time, Pain and fever than the control group, the difference was statistically significant (P <0.05). Conclusion: Compared with open lithotomy, percutaneous nephrolithotomy with holmium laser lithotripsy is more effective in treating complicated nephrolithiasis. It has the advantages of high stone clearance rate, short operative time and less intraoperative blood loss, which can shorten the length of hospitalization Time to promote recovery of patients as soon as possible, with high value.