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目的研究泌尿系结石运用经皮肾镜取石术治疗的临床效果。方法江苏省淮安市第一人民医院选择2010年4月—2012年4月间诊治的80例泌尿系结石患者,将其分为两组,对照组40例患者运用腹腔镜输尿管切开取石术,观察组40例患者运用微创经皮肾镜取石术,比较两组患者的结石清除率以及手术所需时间、术中出血量、术后住院时间等。结果所选患者在术后3d进行B超检查,两组患者的结石清除率均达到100%,差异无统计学意义(P>0.05);观察组患者的手术时间、术中出血量以及术后住院时间均明显优于对照组,差异有统计学意义(P<0.05)。结论泌尿系结石患者运用微创经皮肾镜取石治疗的临床效果较好,患者术中出血量少,住院时间短,值得在临床上大力推广使用。
Objective To study the clinical effect of percutaneous nephrolithotomy on urolithiasis. Methods The First People’s Hospital of Huai’an City, Jiangsu Province selected 80 patients with urolithiasis who were diagnosed and treated between April 2010 and April 2012. The patients in the control group were treated by laparoscopic ureterolithotomy, 40 patients in the observation group were treated with minimally invasive percutaneous nephrolithotomy. The stone clearance rate, the time required for operation, the blood loss during operation, and the postoperative hospital stay were compared between the two groups. Results The selected patients underwent B-mode ultrasound examination three days after operation. The stone clearance rate of both groups reached 100%, with no significant difference (P> 0.05). The operation time, intraoperative blood loss and postoperative The hospital stay was significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion The clinical effect of urolithiasis with minimally invasive percutaneous nephrolithotomy is better. The patients have less intraoperative blood loss and shorter hospital stay, which is worth to be popularized in clinical practice.