论文部分内容阅读
目的探讨微创经皮肾穿刺取石术(PCNL)治疗上尿路结石的临床效果。方法选择自2012年1月至2012年12月来我院就诊的患有上尿路结石的患者60例,随机分为观察组和对照组,每组30例。给予观察组行微创经皮肾穿刺取石术(PCNL),给予对照组行常规取石术。比较两组的治疗结果:碎石成功率和结石排净情况。比较两组术后出血率。结果观察组碎石成功率为100%,显著高于对照组66.67%;观察组结石排净率为96.67%,明显高于对照组73.33%。观察组术后出血率为3.5%,明显低于对照组15.7%。两组比较P<0.05,差异有统计学意义。结论微创经皮肾穿刺取石术(PC-NL)治疗上尿路结石效果显著,且对患者的创伤小、碎石成功率和排净率高、术后出血率低,安全性良好,值得临床推广使用。
Objective To investigate the clinical effect of minimally invasive percutaneous nephrolithotomy (PCNL) in the treatment of upper urinary tract calculi. Methods Sixty patients with upper urinary tract stones who visited our hospital from January 2012 to December 2012 were randomly divided into observation group and control group with 30 cases in each group. The observation group received minimally invasive percutaneous nephrolithotomy (PCNL), giving the control group conventional lithotomy. The results of the treatment were compared between the two groups: gravel success rate and stone discharge status. The postoperative bleeding rate was compared between the two groups. Results The success rate of gravel in the observation group was 100%, which was significantly higher than 66.67% in the control group. The stone removal rate in the observation group was 96.67%, significantly higher than 73.33% in the control group. Postoperative bleeding rate was 3.5% in the observation group, which was significantly lower than 15.7% in the control group. P <0.05 in both groups, the difference was statistically significant. Conclusion Minimally invasive percutaneous nephrolithotomy (PC-NL) is an effective method for the treatment of upper urinary tract calculi. It has the advantages of less trauma to the patient, high success rate and rejection rate, low postoperative bleeding rate and good safety, Clinical use.