当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
20期
68-68,69
,共2页
经皮肾镜取石术%微创经皮肾取石术%肾结石%效果分析
經皮腎鏡取石術%微創經皮腎取石術%腎結石%效果分析
경피신경취석술%미창경피신취석술%신결석%효과분석
Percutaneous nephrolithotomy%Minimally invasive percutaneous renal stone extraction for%Kidney stones%Effect analysis
目的探讨针对肾结石患者，采用经皮肾镜（percutaneous nephrolithtomy，PCNL）和微创经皮肾取石术（ m inimally invasive percutaneous nephrolithotomy,MPCNL）完成治疗后患者的临床效果表现。方法选取湘潭县人民医院2010年12月~2012年12月肾结石患者150例，利用随机数表法将所有患者平均分成2组，A1组（观察组n=75）与A2组（对照组n=75）；针对A2组患者采用PCNL进行治疗，针对A1组患者采用MPCNL进行治疗。对比2组肾结石患者完成手术后的诸多表现。结果对比2组患者手术过程中的出血量发现，存在显著差异（P<0.05）。对比2组肾结石患者结石清除率发现，A1组患者高于A2组患者显著（P<0.05）。结论针对肾结石患者，采用MPCNL进行治疗，对患者手术的时间较短，患者在术后不会出现严重的不良反应，对肾结石的清除率较高，临床应用意义极其显著。
目的探討針對腎結石患者，採用經皮腎鏡（percutaneous nephrolithtomy，PCNL）和微創經皮腎取石術（ m inimally invasive percutaneous nephrolithotomy,MPCNL）完成治療後患者的臨床效果錶現。方法選取湘潭縣人民醫院2010年12月~2012年12月腎結石患者150例，利用隨機數錶法將所有患者平均分成2組，A1組（觀察組n=75）與A2組（對照組n=75）；針對A2組患者採用PCNL進行治療，針對A1組患者採用MPCNL進行治療。對比2組腎結石患者完成手術後的諸多錶現。結果對比2組患者手術過程中的齣血量髮現，存在顯著差異（P<0.05）。對比2組腎結石患者結石清除率髮現，A1組患者高于A2組患者顯著（P<0.05）。結論針對腎結石患者，採用MPCNL進行治療，對患者手術的時間較短，患者在術後不會齣現嚴重的不良反應，對腎結石的清除率較高，臨床應用意義極其顯著。
목적탐토침대신결석환자，채용경피신경（percutaneous nephrolithtomy，PCNL）화미창경피신취석술（ m inimally invasive percutaneous nephrolithotomy,MPCNL）완성치료후환자적림상효과표현。방법선취상담현인민의원2010년12월~2012년12월신결석환자150례，이용수궤수표법장소유환자평균분성2조，A1조（관찰조n=75）여A2조（대조조n=75）；침대A2조환자채용PCNL진행치료，침대A1조환자채용MPCNL진행치료。대비2조신결석환자완성수술후적제다표현。결과대비2조환자수술과정중적출혈량발현，존재현저차이（P<0.05）。대비2조신결석환자결석청제솔발현，A1조환자고우A2조환자현저（P<0.05）。결론침대신결석환자，채용MPCNL진행치료，대환자수술적시간교단，환자재술후불회출현엄중적불량반응，대신결석적청제솔교고，림상응용의의겁기현저。
Objective To study the patients with kidney stones, using percutaneous nephroscope (PCNL) and minimally invasive percutaneous renal nephrolithotomy (MPCNL) to complete the patient's clinical effect after treatment. Methods Selected from December 2010 to December 2012 150 cases of patients with renal stones, using the method of stochastic indicator will all the patients into two groups, group A 1 (observation group, 75 cases) and A 2 group (control group,75 cases);For A 2 group of patients treated by PCNL, in view of A 1 group of patients treated by MPCNL. Compared to two groups of patients with kidney stones after surgery was performed on many of the performance. Results In the process of two groups of patients with blood loss and comparison, there were significant differences (P<0.05). Two groups of patients with kidney stone calculus clearance and comparison, A 1 group of patients was higher than A 2 group of patients significantly (P<0.05). Conclusion Patients with kidney stones treated by MPCNL and the operation time is shorter. Patients with no serious adverse reactions of postoperative of kidney stone clearance rate is higher and have extremely remarkable clinical significance.
