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目的:探讨经皮肾镜气压弹道+超声碎石术治疗肾结石的疗效及应用价值。方法:选择我院治疗的肾结石患者342例作为研究对象,采取随机数字表法分为观察组和对照组,每组各171例,对照组采用开放手术治疗,观察组给予经皮肾镜气压弹道+超声碎石术治疗,观察临床疗效。结果:观察组患者手术时间、术中出血量、Ⅰ期结石清除率均优于对照组,经统计学分析比较,差异具有统计学意义(P<0.05)。观察组患者手术并发症发生率低于对照组,经统计学分析比较,差异具有统计学意义(P<0.05)。结论:采用经皮肾镜气压弹道+超声碎石术治疗肾结石疗效可靠,缩短手术时间,减少术中出血和并发症发生,值得在临床上大力推广使用。
Objective: To investigate the efficacy and value of percutaneous nephroscope pneumatic lithotripsy and ultrasonic lithotripsy in the treatment of kidney stones. Methods: A total of 342 patients with kidney stones treated in our hospital were selected as study subjects. The patients were randomly divided into observation group and control group with 171 cases in each group. The control group was treated with open surgery. The observation group received percutaneous nephrolithotxy Trajectory + ultrasonic lithotripsy treatment, observation of clinical efficacy. Results: The operation time, intraoperative blood loss and grade Ⅰ stone clearance in the observation group were better than those in the control group. The difference was statistically significant (P <0.05). The incidence of surgical complications in observation group was lower than that in control group, and the difference was statistically significant (P <0.05) by statistical analysis. Conclusion: Percutaneous nephrolithotracheal lithotripsy and ultrasonic lithotripsy for the treatment of renal calculi are reliable, shorten the operation time and reduce intraoperative bleeding and complications, so it is worth to be popularized in clinic.