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目的:探讨比较微创经皮肾镜取石术与开放手术治疗肾结石的临床疗效。方法:94例符合纳入标准的肾结石患者随机分为传统组(n=47)和微创组(n=47)。传统组行开放手术取石术,微创组行微创经皮肾镜取石术,比较两组治疗疗效及手术情况。结果:治疗后,传统组和微创组的治疗总有效率分别为93.6%和95.7%,组间比较无统计学差异(P>0.05)。与传统组相比,微创组术中出血量明显减少,手术时间、住院时间显著缩短,比较都有统计学差异(P均<0.05)。结论:微创经皮肾镜取石术与开放手术治疗均是肾结石的有效手术方式,但与开放手术相比,微创经皮肾镜取石术术中出血量少,手术时间及住院时间短,临床上值得进一步推广。
Objective: To compare the clinical efficacy of minimally invasive percutaneous nephrolithotomy and open surgery in the treatment of kidney stones. Methods: Ninety-four patients with nephrolithiasis were randomly divided into the traditional group (n = 47) and the minimally invasive group (n = 47). Traditional group open operation lithotomy, minimally invasive group with minimally invasive percutaneous nephrolithotomy, curative effect and surgical treatment were compared between the two groups. Results: After treatment, the total effective rates of the traditional group and the minimally invasive group were 93.6% and 95.7%, respectively. There was no significant difference between the two groups (P> 0.05). Compared with the traditional group, the bleeding in the minimally invasive group was significantly reduced, the operation time and hospitalization time were significantly shortened (all P <0.05). Conclusion: Minimally invasive percutaneous nephrolithotomy and open surgery are both effective methods of nephrolithiasis. However, compared with open surgery, minimally invasive percutaneous nephrolithotomy has less bleeding, shorter operation time and shorter hospital stay , Clinically worth further promotion.