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目的:对经皮肾镜取石术与开放手术在治疗肾结石方面的效果进行系统评价。方法:选取我院自2012年6月~2013年10月期间,住院部所收治的肾结石患者共计80例作为研究对象,按照数字随机表方法随机分为对照组、干预组,每组患者40例。对照组患者采取开放手术方式对肾结石进行治疗,干预组患者采取经皮肾镜取石术对肾结石进行治疗。对两组患者手术效果以及并发症发生情况进行综合对比与分析。结果:干预组患者手术时间、术中出血量、术后下地活动时间、以及住院时间均明显短于对照组,并发症发生率低于对照组,数据对比差异显著,P<0.05,具有统计学意义。结论:经皮肾镜取石术治疗肾结石具有手术时间短、术中出血量少、术后恢复快、并发症发生率低等优势,疗效确切,且安全性高,值得临床进一步推广应用。
OBJECTIVE: To systematically evaluate the effect of percutaneous nephrolithotomy and open surgery on the treatment of kidney stones. Methods: A total of 80 patients with nephrolithiasis admitted to our hospital from June 2012 to October 2013 were selected as the research object, and randomly divided into control group, intervention group and each group of patients 40 example. Patients in the control group were treated with open surgery on kidney stones, while patients in the intervention group were treated with percutaneous nephrolithotomy on kidney stones. On the two groups of patients with surgical effects and complications of a comprehensive comparison and analysis. Results: The operation time, intraoperative blood loss, postoperative ambulation time, and hospital stay in the intervention group were significantly shorter than those in the control group. Complication rates were lower in the intervention group than in the control group (P <0.05) significance. Conclusion: Percutaneous nephrolithotomy has the advantages of short operative time, less intraoperative blood loss, faster postoperative recovery and lower complication rate. It has definite curative effect and high safety. It is worth further clinical application.