CAJ | 학술논문

目的对比开放手术配合肾镜取石与单独开放取石对肾结石患者的治疗效果。方法对进行治疗的82例肾结石患者进行临床分组，研究组患者经开放手术配合肾镜取石治疗；对照组肾结石患者仅进行开放手术治疗，两组患者术前准备与术后处理等围术期治疗措施均相同。观察两组患者术中出血量、结石完全清除率、住院时间等情况。结果研究组术中出血量为（61.36±17.81）mL、术后住院时间为（6.27±0.75）d，均明显少于对照组；研究组肾结石患者经上述方法治疗后，其体内结石完全清除率为95.12%，明显高于对照组的75.61%，P<0.05，差异具有统计学意义。结论对肾结石患者进行开放手术配合肾镜取石治疗，能够有效降低患者术中出血量，缩短术后住院时间，且结石完全清除率较高，显著提高患者临床治疗效果，值得临床推广应用。
목적대비개방수술배합신경취석여단독개방취석대신결석환자적치료효과。방법대진행치료적82례신결석환자진행림상분조，연구조환자경개방수술배합신경취석치료；대조조신결석환자부진행개방수술치료，량조환자술전준비여술후처리등위술기치료조시균상동。관찰량조환자술중출혈량、결석완전청제솔、주원시간등정황。결과연구조술중출혈량위（61.36±17.81）mL、술후주원시간위（6.27±0.75）d，균명현소우대조조；연구조신결석환자경상술방법치료후，기체내결석완전청제솔위95.12%，명현고우대조조적75.61%，P<0.05，차이구유통계학의의。결론대신결석환자진행개방수술배합신경취석치료，능구유효강저환자술중출혈량，축단술후주원시간，차결석완전청제솔교고，현저제고환자림상치료효과，치득림상추엄응용。
Objective Compare the effect about open operation with nephrolithotomy and simple open stone removal in patients with kidney stones. Methods 82 cases with kidney stones were randomly divided into two groups. The study group was treated with open surgery and nephrolithotomy, and the control group wasonly treated with open surgery treatment. Preoperative, postoperative management of the two groups are the same. compared the bleeding, complete stone clearance rate, hospitalization time of the two groups. Results Study of bleeding group operation was (61.36±17.81) mL, postoperative hospitalization time was (6.27 ± 0.75)d, were signiifcantly less than that of the control group;the patients of kidney stones after the above treatment, the body complete stone clearance rate was 95.12%, signiifcantly higher than that of the control group of 75.61%,P<0.05, with statistical significance differences. Conclusion Open operation with nephrolithotomy in treatment of renal calculi, can effectively reduce the intraoperative bleeding volume, shorten the hospitalization time after operation, and complete stone clearance rate was high, signiifcantly improve the clinical therapeutic effect, worthy for clinical application.