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目的:探讨微创经皮肾取石术对孤立肾结石的治疗效果。方法:将2004年~2014年近十年在该院接受治疗的184例孤立性肾结石患者作为研究对象,184例患者按照数学随机法分为A组和B组,每组92例患者。A组患者采用微创经皮肾取石术治疗,B组患者采用传统开放手术治疗,分析、对比两组患者的取石效果、术后恢复情况、术后并发症以及住院时间。结果:相比两组患者的取石效果无明显差异(P>0.05);B组术后肠胃功能恢复时间、并发症发生率以及住院时间明显较优,比较差异均具体统计学意义(P<0.05)。结论:采用微创经皮肾取石术治疗孤立肾结石取石成功率高,并发症少,术后恢复快,具有较高的临床应用价值,得到推广应用。
Objective: To investigate the effect of minimally invasive percutaneous nephrolithotomy on isolated kidney stones. Methods: A total of 184 cases of solitary stone patients treated in the hospital from 2004 to 2014 in the recent 10 years were enrolled. 184 patients were divided into A group and B group according to the mathematical random method, with 92 patients in each group. Patients in group A were treated with minimally invasive percutaneous nephrolithotomy. Patients in group B were treated with traditional open surgery. The stone effect, postoperative recovery, postoperative complications and hospital stay were compared between the two groups. Results: The recovery time of gastrointestinal function, complication rate and length of hospital stay in group B were significantly better than those in the two groups (P <0.05), but the differences were statistically significant (P <0.05) ). Conclusion: The minimally invasive percutaneous nephrolithotomy for the treatment of solitary kidney stones has high success rate, few complications and rapid recovery after operation. It has high clinical value and is widely applied.