论文部分内容阅读
目的比较微造瘘经皮肾输尿管镜钬激光碎石术治疗既往有无开放性肾盂切开取石手术史的肾结石的安全性和有效性。方法回顾性分析2010至2013年间荆州中心医院微造瘘经皮肾输尿管镜钬激光碎石术治疗既往有无开放性肾盂切开取石手术史(A组和B组)肾结石的150例患者的临床资料。结果有手术史与没有既往手术史组比较,仅在手术时间和输血率上有所增加(P<0.05),在是否需二期手术、一期清石率、胸膜损伤率、肠道损伤率、术后发热、术后介入率、术后住院时间方面均无统计学差异。结论经皮肾镜碎石术对于既往有肾脏开放手术史复发的肾结石患者是安全和有效的。与没有既往手术史者比较,仅在手术时间和输血率上有所增加。
Objective To compare the safety and efficacy of percutaneous nephroureteroscopic holmium laser lithotripsy for the treatment of renal stones with or without previous open pyelolithotomy. Methods A retrospective analysis of 150 patients with nephrolithotomy treated with minimally invasive peritoneal ureteroscopic holmium laser lithotripsy at Jingzhou Central Hospital from 2010 to 2013 (group A and group B) clinical information. The results of surgical history and no history of surgery compared to the group, only in the operation time and blood transfusion increased (P <0.05), in the need of two surgery, a clear rate of stone, pleural damage rate, intestinal injury rate , Postoperative fever, postoperative intervention rate, postoperative hospital stay were not statistically different. Conclusion Percutaneous nephrolithotomy is safe and effective for patients with previous kidney stones who have a history of open surgery. Compared with no history of prior surgery, surgery time and blood transfusion rate only increased.