CAJ | 학술논문

目的：探讨和分析经皮肾镜微造瘘通道来治疗肾结石的方法与临床效果。方法选取该院收治的170例肾结石患者，按照随机原则分成对照组和观察组，分别采用经皮肾取石术和微造瘘取石术，然后观察观察和对比两组患者的手术时间、肾结石清除率和并发症的发生情况。结果在不同手术治疗以后，该两组患者在手术时间和结石的清除率方面对比，差异无统计学意义(P>0.05)，但对照组的并发症发生率为3.5%，明显少于观察组患者，二者并发症发生率对比，其差异有统计学意义(P<0.05)。结论对于肾结石患者，运用经皮肾取石术和经皮肾微造瘘取石术进行治疗，都能够取得较好的效果，但经皮肾微造瘘取石术并发症较经皮肾取石术高，在临床应当引起重视。
목적：탐토화분석경피신경미조루통도래치료신결석적방법여림상효과。방법선취해원수치적170례신결석환자，안조수궤원칙분성대조조화관찰조，분별채용경피신취석술화미조루취석술，연후관찰관찰화대비량조환자적수술시간、신결석청제솔화병발증적발생정황。결과재불동수술치료이후，해량조환자재수술시간화결석적청제솔방면대비，차이무통계학의의(P>0.05)，단대조조적병발증발생솔위3.5%，명현소우관찰조환자，이자병발증발생솔대비，기차이유통계학의의(P<0.05)。결론대우신결석환자，운용경피신취석술화경피신미조루취석술진행치료，도능구취득교호적효과，단경피신미조루취석술병발증교경피신취석술고，재림상응당인기중시。
Objective To investigate and analyze the method of minimally invasive percutaneous nephrolithotomy channel for the treatment of renal calculi and its clinical effect. Methods 170 cases with renal calculi admitted in our hospital from August 2011 to July 2013 were randomly divided into the control group and the observation group, treated by percutaneous nephrolithotomy and minimally invasive percutaneous nephrolithotomy, respectively. Then the operation time, renal calculi clearance rate and the inci-dence of complications of the two groups of patients were observed and compared. Results After the treatment of different surg-eries, the differences in operation time and renal calculi clearance rate between the two groups were not statistically significant ( P>0.05);the incidence of complications of the control group was 3.5%, significantly less than that of the observation group, the differ-ence in the incidence of complications was statistically significant (P<0.05). Conclusion For patients with renal calculi, both per-cutaneous nephrolithotomy and minimally invasive percutaneous nephrolithotomy can achieve good results, but the incidence of complications of the latter is higher, which should be paid attention in clinical practice.