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目的观察经皮肾镜碎石与开放手术分别治疗复杂性肾结石患者的临床效果。方法选取76例复杂性肾结石患者作为研究对象,随机分为观察组和对照组,每组38例。对照组采取开放手术进行治疗,观察组经皮肾镜碎石进行治疗,观察2组患者手术时间、术中出血量、下地活动时间、住院时间、术后发热、结石清除及止痛药物的应用情况。结果观察组手术时间、下地活动时间、住院时间及术中出血量均显著优于对照组(P<0.01);观察组术后发热率为42.11%显著低于对照组的84.21%(P<0.01);观察组结石清除率为94.74%显著高于对照组的55.26%(P<0.01)。结论采用经皮肾镜碎石法治疗复杂性肾结石临床效果显著,可有效降低术中出血量,促进术后恢复,减轻患者痛苦,值得临床推广应用。
Objective To observe the clinical effect of percutaneous nephrolithotomy and open surgery in the treatment of complicated renal calculi. Methods Totally 76 patients with complicated renal calculi were randomly divided into observation group and control group, with 38 cases in each group. The control group was treated with open surgery. The observation group was treated with percutaneous nephrolithotomy. The operation time, intraoperative blood loss, time to activity, length of stay, postoperative fever, removal of stones and application of analgesics were observed . Results The operation time, floor time, hospital stay and intraoperative blood loss in the observation group were significantly better than those in the control group (P <0.01). The postoperative fever rate in the observation group was 42.11%, significantly lower than that in the control group (84.21%, P <0.01) ). The stone clearance rate in the observation group was 94.74%, which was significantly higher than that in the control group (55.26%, P <0.01). Conclusion Percutaneous nephrolithotripsy is a effective method for the treatment of complex renal calculi, which can effectively reduce intraoperative blood loss, promote postoperative recovery and relieve the suffering of patients. It is worthy of clinical application.