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
9期
66-69
,共4页
铸型肾结石%经皮肾镜术%开放手术
鑄型腎結石%經皮腎鏡術%開放手術
주형신결석%경피신경술%개방수술
Kidney staghorn stone%Percutaneous nephrolithotomy%Open operation
目的：分析经皮肾镜术治疗铸型肾结石的临床疗效。方法选取本院收治的92例铸型肾结石患者为研究对象，按照随机抽签法分为对照组与观察组，每组各46例。对照组患者采用开放手术治疗，观察组患者采用经皮肾镜术治疗。统计两组患者结石清除率、手术时间、术中平均出血量、术后并发症、住院时间、肾造瘘管留置时间、住院费用等情况。结果观察组患者结石清除率为86.96%（40/46），明显低于对照组[95.65%（44/46）]（P＜0.05）；观察组患者手术平均时间、术中平均出血量、输血率分别为（106.12±21.56）分钟、（81.97±56.36）ml、0（0/46）与对照组[（155.42±47.62）分钟、（176.42±94.27）ml、6.52%（3/46）]比较差异显著（P＜0.05）。术后两组患者住院时间、肾造瘘管留置时间、住院费用及并发症比较差异显著（P＜0.05）。结论相较于开放手术，采用经皮肾镜术治疗铸型肾结石，可缩短手术时间，减少术中出血量和术后并发症发生，促进患者康复，缩短住院时间，但该术式结石清除率较低，且治疗费用高，因此临床需根据患者实际情况选择合理的手术方式。
目的：分析經皮腎鏡術治療鑄型腎結石的臨床療效。方法選取本院收治的92例鑄型腎結石患者為研究對象，按照隨機抽籤法分為對照組與觀察組，每組各46例。對照組患者採用開放手術治療，觀察組患者採用經皮腎鏡術治療。統計兩組患者結石清除率、手術時間、術中平均齣血量、術後併髮癥、住院時間、腎造瘺管留置時間、住院費用等情況。結果觀察組患者結石清除率為86.96%（40/46），明顯低于對照組[95.65%（44/46）]（P＜0.05）；觀察組患者手術平均時間、術中平均齣血量、輸血率分彆為（106.12±21.56）分鐘、（81.97±56.36）ml、0（0/46）與對照組[（155.42±47.62）分鐘、（176.42±94.27）ml、6.52%（3/46）]比較差異顯著（P＜0.05）。術後兩組患者住院時間、腎造瘺管留置時間、住院費用及併髮癥比較差異顯著（P＜0.05）。結論相較于開放手術，採用經皮腎鏡術治療鑄型腎結石，可縮短手術時間，減少術中齣血量和術後併髮癥髮生，促進患者康複，縮短住院時間，但該術式結石清除率較低，且治療費用高，因此臨床需根據患者實際情況選擇閤理的手術方式。
목적：분석경피신경술치료주형신결석적림상료효。방법선취본원수치적92례주형신결석환자위연구대상，안조수궤추첨법분위대조조여관찰조，매조각46례。대조조환자채용개방수술치료，관찰조환자채용경피신경술치료。통계량조환자결석청제솔、수술시간、술중평균출혈량、술후병발증、주원시간、신조루관류치시간、주원비용등정황。결과관찰조환자결석청제솔위86.96%（40/46），명현저우대조조[95.65%（44/46）]（P＜0.05）；관찰조환자수술평균시간、술중평균출혈량、수혈솔분별위（106.12±21.56）분종、（81.97±56.36）ml、0（0/46）여대조조[（155.42±47.62）분종、（176.42±94.27）ml、6.52%（3/46）]비교차이현저（P＜0.05）。술후량조환자주원시간、신조루관류치시간、주원비용급병발증비교차이현저（P＜0.05）。결론상교우개방수술，채용경피신경술치료주형신결석，가축단수술시간，감소술중출혈량화술후병발증발생，촉진환자강복，축단주원시간，단해술식결석청제솔교저，차치료비용고，인차림상수근거환자실제정황선택합리적수술방식。
Objective Analysis for the treatment of percutaneous nephroscope cast the clinical curative effect of Kidney staghorn stone. Method 92 cases of patients with Kidney staghorn stone in the mold were randomly divided into control group and observation group, each group of 46 cases. Control group used open operation treatment;observation group was treated with percutaneous nephrolithotomy treatment. Statistics of two groups of patients the stone clearance and operation time and the average intraoperative bleeding volume, postoperative complications, hospital stay, nephrostomy tube indwelling time, hospitalization expenses. Result In observation group, the stone free rate was 86.96%(40/46), signiifcantly lower than control group [95.65%(44/46)] (P<0.05);observation group the average operation time, the volume of hemorrhage, transfusion rate was (106.12±21.56) minutes, (81.97±56.36) ml, 0 (0/46) and control group was (155.42±47.62) minutes, (176.42±94.27) ml, 6.52%(3/46) comparison (P<0.05), postoperative hospitalization time, nephrostomy tube indwelling time, cost of hospitalization and complications between two groups were signiifcant different (P < 0.05). Conclusion Relatively open surgery, percutaneous nephrolithotomy treat, Kidney staghorn stone, which can shorten operation time, less bleeding and postoperative complication, promote the rehabilitation of patients, shorten the time of hospitalization. But the stone clearance and low treatment cost is high, so the clinical need to choose reasonable operation treatment according to the actual situation of patients.
