中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2014年
7期
90-92
,共3页
经皮肾镜手术%巨大鹿角形肾结石%联合应用
經皮腎鏡手術%巨大鹿角形腎結石%聯閤應用
경피신경수술%거대록각형신결석%연합응용
Percutaneous nephroscope surgery%The giant staghorn kidney stones form%The joint application
目的：研究微创经皮肾镜手术与新型经皮肾镜手术联合治疗巨大鹿角形肾结石的效果。方法将108例巨大鹿角形肾结石患者随机分为试验组与对照组，每组各54例。试验组患者采用微创经皮肾镜手术与新型经皮肾镜手术联合治疗，对照组患者采用普通微创经皮肾镜手术进行治疗。结果试验组患者一次取石38例，二次取石12例，三次取石2例，取石成功率为96.2%；对照组患者一次取石21例，二次取石17例，三次取石6例，取石成功率为81.4%。在出血量、手术时间和术后并发症方面，试验组与对照组比较差异具有显著性（P＝0.0362＜0.05）。结论通过两种经皮肾镜手术联合治疗巨大鹿角形肾结石效果理想，患者康复率高，不良反应少，值得临床推广。
目的：研究微創經皮腎鏡手術與新型經皮腎鏡手術聯閤治療巨大鹿角形腎結石的效果。方法將108例巨大鹿角形腎結石患者隨機分為試驗組與對照組，每組各54例。試驗組患者採用微創經皮腎鏡手術與新型經皮腎鏡手術聯閤治療，對照組患者採用普通微創經皮腎鏡手術進行治療。結果試驗組患者一次取石38例，二次取石12例，三次取石2例，取石成功率為96.2%；對照組患者一次取石21例，二次取石17例，三次取石6例，取石成功率為81.4%。在齣血量、手術時間和術後併髮癥方麵，試驗組與對照組比較差異具有顯著性（P＝0.0362＜0.05）。結論通過兩種經皮腎鏡手術聯閤治療巨大鹿角形腎結石效果理想，患者康複率高，不良反應少，值得臨床推廣。
목적：연구미창경피신경수술여신형경피신경수술연합치료거대록각형신결석적효과。방법장108례거대록각형신결석환자수궤분위시험조여대조조，매조각54례。시험조환자채용미창경피신경수술여신형경피신경수술연합치료，대조조환자채용보통미창경피신경수술진행치료。결과시험조환자일차취석38례，이차취석12례，삼차취석2례，취석성공솔위96.2%；대조조환자일차취석21례，이차취석17례，삼차취석6례，취석성공솔위81.4%。재출혈량、수술시간화술후병발증방면，시험조여대조조비교차이구유현저성（P＝0.0362＜0.05）。결론통과량충경피신경수술연합치료거대록각형신결석효과이상，환자강복솔고，불량반응소，치득림상추엄。
Objective To study the minimally invasive percutaneous nephroscope surgery with new percutaneous nephroscope surgery for the treatment of huge staghorn shape kidney stones. Method 108 cases of patients with huge staghorn kidney stone were randomly divided into experimental group and control group, 54 cases in each group. The experimental group adopted two kinds of percutaneous nephroscope surgery combined treatment, the control group using common minimally invasive percutaneous nephroscope surgical treatment. Result The experimental group of 54 cases with a lithotomy 38 cases, secondary lithotomy 12 cases, three times removed in 2 cases, stone-free rate was 96.2%, control group of 54 patients took stone 21 cases at a time, a second stone, 17 cases, three stone 6 cases, stone-free rate was 81.4%. In terms of the bleeding, operation time and postoperative complications, the experimental group with statistical processing of the control group (P=0.0362<0.05) for the difference was statistically signiifcant. Conclusion Through two kinds of percutaneous nephroscope joint surgery treatment of huge staghorn kidney stones effect is very ideal, patients recovery rate is high, very few adverse reactions, worthy of clinical promotion.
