中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
2期
124-126
,共3页
腔内泌尿外科技术%结石性脓肾%疗效
腔內泌尿外科技術%結石性膿腎%療效
강내비뇨외과기술%결석성농신%료효
Endourologial technique%Calculous pyonephrosis%Effect analysis
目的：对腔内泌尿外科技术治疗结石性脓肾的效果进行分析。方法：选取90例患有结石性脓肾的患者。将这90例患者随机分为治疗组和对照组各45例，治疗组采用腔内泌尿外科技术进行治疗，其中22例患者行微创经皮肾镜取石手术，23例行经尿道输尿管镜取石手术。对照组采用传统的肾切除术。结果：治疗组的总有效率为92%，对照组为100%，两组总有效率比较差异无统计学意义（P>0.05）；治疗组的并发症发生率为8%，对照组为20%，两组并发症发生率比较差异有统计学意义（P<0.05）。结论：采用腔内泌尿外科技术治疗结石性脓肾不仅取石率高，且术后患者出现并发症的几率很小，既有效又安全，因此值得在临床医学上进行推广。
目的：對腔內泌尿外科技術治療結石性膿腎的效果進行分析。方法：選取90例患有結石性膿腎的患者。將這90例患者隨機分為治療組和對照組各45例，治療組採用腔內泌尿外科技術進行治療，其中22例患者行微創經皮腎鏡取石手術，23例行經尿道輸尿管鏡取石手術。對照組採用傳統的腎切除術。結果：治療組的總有效率為92%，對照組為100%，兩組總有效率比較差異無統計學意義（P>0.05）；治療組的併髮癥髮生率為8%，對照組為20%，兩組併髮癥髮生率比較差異有統計學意義（P<0.05）。結論：採用腔內泌尿外科技術治療結石性膿腎不僅取石率高，且術後患者齣現併髮癥的幾率很小，既有效又安全，因此值得在臨床醫學上進行推廣。
목적：대강내비뇨외과기술치료결석성농신적효과진행분석。방법：선취90례환유결석성농신적환자。장저90례환자수궤분위치료조화대조조각45례，치료조채용강내비뇨외과기술진행치료，기중22례환자행미창경피신경취석수술，23례행경뇨도수뇨관경취석수술。대조조채용전통적신절제술。결과：치료조적총유효솔위92%，대조조위100%，량조총유효솔비교차이무통계학의의（P>0.05）；치료조적병발증발생솔위8%，대조조위20%，량조병발증발생솔비교차이유통계학의의（P<0.05）。결론：채용강내비뇨외과기술치료결석성농신불부취석솔고，차술후환자출현병발증적궤솔흔소，기유효우안전，인차치득재림상의학상진행추엄。
Objective:To analyze the therapeutic effect of endourologial technique treating calculous pyonephrosis.Method: There were 90 cases of calculous pyonephrosis. In this 90 cases, 45 cases of calculous pyonephrosis that was called treatment group were treated by endourological technique(22 cases by mini-percutaneous nephrolithotomy,23 cases by transurethral ureteroscopy),45 cases of calculous pyonephrosis that was called control group were treated by nephrectomy.Result:Total effective rate of treatment group was 92%, control group was 100%, there was no statistically significant between two groups(P>0.05). The incidence of complications of treatment group was 8%, the incidence of complications of control group was 20%, there was statistically significant between two groups (P<0.05).Conclusion:It is feasible and effective to treat calculous pyonephrosis with endourologieal technique.Most of the kidneys in calculous pyonephrosis might be saved.
