中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
3期
41-42
,共2页
肾结石%经皮肾镜钬激光碎石术%超声气压弹道碎石
腎結石%經皮腎鏡鈥激光碎石術%超聲氣壓彈道碎石
신결석%경피신경화격광쇄석술%초성기압탄도쇄석
Kidney calculi%Percutaneous nephrolithotomy holmium laser lithotripsy%Ultrasonic pneumatic lithotripsy
目的 探讨经皮肾镜钬激光碎石与超声气压弹道碎石清石系统治疗肾结石的临床疗效和并发症发生情况.方法 选取2013年2月至2014年2月来三门峡市第三人民医院治疗的肾结石患者110例,随机分为对照组和观察组,每组各55例.观察组患者以经皮肾镜钬激光碎石术治疗,对照组患者采用超声气压弹道碎石治疗,比较两组患者的临床疗效和并发症发生率.结果 观察组患者结石总取净率为94.55％,对照组结石总取净率为89.09％,两组间差异未见统计学意义.观察组患者的手术时间为(116.41±8.17) min,显著高于对照组[(80.13±3.11) min],两组间差异有统计学意义(t=28.7253,P＜0.01);对照组患者出现血尿、发热等并发症发生率为5.45％,观察组为3.64％,两组间差异未见统计学意义.结论 经皮肾镜钬激光碎石与超声气压弹道碎石清石系统治疗肾结石均有较好的治疗效果,创伤小,并发症发生较少,值得在临床上推广应用.
目的 探討經皮腎鏡鈥激光碎石與超聲氣壓彈道碎石清石繫統治療腎結石的臨床療效和併髮癥髮生情況.方法 選取2013年2月至2014年2月來三門峽市第三人民醫院治療的腎結石患者110例,隨機分為對照組和觀察組,每組各55例.觀察組患者以經皮腎鏡鈥激光碎石術治療,對照組患者採用超聲氣壓彈道碎石治療,比較兩組患者的臨床療效和併髮癥髮生率.結果 觀察組患者結石總取淨率為94.55％,對照組結石總取淨率為89.09％,兩組間差異未見統計學意義.觀察組患者的手術時間為(116.41±8.17) min,顯著高于對照組[(80.13±3.11) min],兩組間差異有統計學意義(t=28.7253,P＜0.01);對照組患者齣現血尿、髮熱等併髮癥髮生率為5.45％,觀察組為3.64％,兩組間差異未見統計學意義.結論 經皮腎鏡鈥激光碎石與超聲氣壓彈道碎石清石繫統治療腎結石均有較好的治療效果,創傷小,併髮癥髮生較少,值得在臨床上推廣應用.
목적 탐토경피신경화격광쇄석여초성기압탄도쇄석청석계통치료신결석적림상료효화병발증발생정황.방법 선취2013년2월지2014년2월래삼문협시제삼인민의원치료적신결석환자110례,수궤분위대조조화관찰조,매조각55례.관찰조환자이경피신경화격광쇄석술치료,대조조환자채용초성기압탄도쇄석치료,비교량조환자적림상료효화병발증발생솔.결과 관찰조환자결석총취정솔위94.55％,대조조결석총취정솔위89.09％,량조간차이미견통계학의의.관찰조환자적수술시간위(116.41±8.17) min,현저고우대조조[(80.13±3.11) min],량조간차이유통계학의의(t=28.7253,P＜0.01);대조조환자출현혈뇨、발열등병발증발생솔위5.45％,관찰조위3.64％,량조간차이미견통계학의의.결론 경피신경화격광쇄석여초성기압탄도쇄석청석계통치료신결석균유교호적치료효과,창상소,병발증발생교소,치득재림상상추엄응용.
Objective To investigate the clinical effect of percutaneous nephrolithotomy holmium laser lithotripsy and ultrasonic pneumatic lithotripsy on kidney calculi and the complications.Methods From February 2013 to February 2014,110 patients with kidney stones treated in the third people's hospital of Sanmenxia hospital were randomly divided into control group and observation group,with 55 cases in each group.The patients in observation group received percutaneous nephrolithotomy holmium laser lithotripsy and the patients in control group received ultrasonic pneumatic lithotripsy therapy.The clinical effects and the incidences of complications were compared.Results The stone clearance rate of observation group was 94.55％,and the stone clearance rate of the control group was 89.09％ ; there was no significant difference between the two groups.The treatment time of observation group was (116.41 ± 8.17) min,which was higher than that of the control group [(80.13 ± 3.11) min],there was significant difference (t =28.7253,P ＜ 0.01).The complication rate of the control group was 5.45％,and the complication rate of the observation group was 3.64％ ; there was no significant difference between the two groups.Conclusions Both of percutaneous nephrolithotomy holmium laser lithotripsy and ultrasonic pneumatic lithotripsy have good treatment effect and little complications,which is worthy of promotion.
