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目的探讨经皮肾镜气压弹道超声碎石术治疗肾结石的疗效及安全性。方法收集2010年5月-2012年5月肾结石患者72例,随机分为观察组与对照组各36例,观察组行经皮肾镜气压弹道超声碎石术治疗,对照组行经皮肾镜气压弹道碎石术。比较两组患者疗效及安全性。结果观察组在手术时间、手术中出血量、Ⅰ期结石清除率、并发症方面明显优于对照组(P<0.05);观察组术后SF-36量表各维度评分优于对照组,组间差异有统计学意义(P<0.05)。结论经皮肾镜气压弹道超声碎石术治疗肾结石,疗效较好,安全可靠,值得临床推广。
Objective To investigate the efficacy and safety of percutaneous nephroscope pneumatic lithotripsy in the treatment of renal calculus. Methods Seventy-two patients with kidney stones from May 2010 to May 2012 were randomly divided into observation group (36 cases) and control group (36 cases). The observation group received percutaneous nephrolithotomy by ultrasonic lithotripsy and the control group received percutaneous nephrolithotopic Ballistic lithotripsy The efficacy and safety of the two groups were compared. Results The observation group was significantly better than the control group in the operation time, blood loss during operation, stage Ⅰ stone clearance rate and complication (P <0.05). The score of SF-36 in the observation group was better than that in the control group The difference was statistically significant (P <0.05). Conclusion Percutaneous nephroscope pneumatic lithotripsy for the treatment of kidney stones, the effect is good, safe and reliable, worthy of clinical promotion.