CAJ | 학술논문

目的:探讨并总结单通道经皮肾镜超声碎石治疗鹿角形结石的临床效果.方法:本文选取2007年10月-2012年10月来笔者所在医院接受手术治疗的鹿角形结石患者140例,对其临床资料进行回顾性总结,依据治疗方法,分观察组与对照组,各70例,观察组患者接受单通道经皮肾镜超声碎石治疗,对照组患者接受开放手术治疗,对两组患者输血百分比、手术时间、血红蛋白、术后并发症发生率以及住院时间、术后1个月结石的清除率、治疗费用进行比较总结.结果:与对照组相比,观察组在手术前后患者血红蛋白的下降量、输血率、术后并发症发生率、手术时间以及住院时间均较少,而观察组的治疗费用和手术后1个月患者结石清除率则显著高于对照组,两组比较差异有统计学意义(P<0.05).结论:单通道经皮肾镜超声碎石治疗鹿角形结石安全可靠,但在治疗费用方面较开放手术治疗高.
목적:탐토병총결단통도경피신경초성쇄석치료록각형결석적림상효과.방법:본문선취2007년10월-2012년10월래필자소재의원접수수술치료적록각형결석환자140례,대기림상자료진행회고성총결,의거치료방법,분관찰조여대조조,각70례,관찰조환자접수단통도경피신경초성쇄석치료,대조조환자접수개방수술치료,대량조환자수혈백분비、수술시간、혈홍단백、술후병발증발생솔이급주원시간、술후1개월결석적청제솔、치료비용진행비교총결.결과:여대조조상비,관찰조재수술전후환자혈홍단백적하강량、수혈솔、술후병발증발생솔、수술시간이급주원시간균교소,이관찰조적치료비용화수술후1개월환자결석청제솔칙현저고우대조조,량조비교차이유통계학의의(P<0.05).결론:단통도경피신경초성쇄석치료록각형결석안전가고,단재치료비용방면교개방수술치료고.
Objective:To explore the efficacy of single-channel percutaneous nephroscope lithotripsy (MPCNL)by ultrasonic in the treatment of renal staghorn calculi.Methods:140 cases of renal staghorn calculi in our hospital from October 2007 to October 2012 were assigned to observation group and control group,and 70 cases in each,patients in observation group received MPCNL while others received open surgery.The operation time,total operative blood loss, blood transfusion rate,postoperative hospital stay,complication rate,total treatment cost and calculi clearance at one month of postoperative follow-up between two groups were evaluated.Results:Compared with open surgery,MPCNL was associated with significantly less drop of hemoglobin,less blood transfusion, shorter operation time,less postoperative hospital stay,less complication rate,but more total treatment cost,higher calculi clearance rate,which were significant differences between the two groups(P<0.05).Conclusion:MPCNL is a safe and effective way to treat renal staghorn calculi,though it has higher total medical cost.