中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
2期
1-2,3
,共3页
无管化微创经皮肾镜取石术%标准微创经皮肾镜取石术%婴幼儿肾结石
無管化微創經皮腎鏡取石術%標準微創經皮腎鏡取石術%嬰幼兒腎結石
무관화미창경피신경취석술%표준미창경피신경취석술%영유인신결석
Tubeless minimally invasive percutaneous nephrolithotomy%Standard of minimally invasive percutaneous nephrolithotomy%Kidney stones in infants
目的：探讨无管化微创经皮肾镜取石术治疗婴幼儿肾结石的临床疗效，以供参考。方法：选取笔者所在医院2012年4月-2013年3月收治的85例婴幼儿肾结石患儿作为研究对象，根据随机数字表法将其分为对照组42例和试验组43例。对照组给予标准微创经皮肾镜取石术治疗，试验组给予无管化微创经皮肾镜取石术治疗。术后随访1年，观察比较两组患儿的手术时间、住院时间、结石一次清除情况、结石复发情况及并发症发生情况等指标的差异。结果：两组手术时间、结石一次清除率及结石复发率比较差异均无统计学意义(P>0.05)。试验组的住院时间(4.12±0.85)d明显短于对照组的(6.84±1.03)d，术后并发症发生率2.33%(1/43)明显低于对照组的26.19%(11/42)，差异均有统计学意义(P<0.05)。结论：采用无管化微创经皮肾镜取石术治疗婴幼儿肾结石疗效确切，可减轻患儿痛苦，缩短住院时间，值得临床推广应用。
目的：探討無管化微創經皮腎鏡取石術治療嬰幼兒腎結石的臨床療效，以供參攷。方法：選取筆者所在醫院2012年4月-2013年3月收治的85例嬰幼兒腎結石患兒作為研究對象，根據隨機數字錶法將其分為對照組42例和試驗組43例。對照組給予標準微創經皮腎鏡取石術治療，試驗組給予無管化微創經皮腎鏡取石術治療。術後隨訪1年，觀察比較兩組患兒的手術時間、住院時間、結石一次清除情況、結石複髮情況及併髮癥髮生情況等指標的差異。結果：兩組手術時間、結石一次清除率及結石複髮率比較差異均無統計學意義(P>0.05)。試驗組的住院時間(4.12±0.85)d明顯短于對照組的(6.84±1.03)d，術後併髮癥髮生率2.33%(1/43)明顯低于對照組的26.19%(11/42)，差異均有統計學意義(P<0.05)。結論：採用無管化微創經皮腎鏡取石術治療嬰幼兒腎結石療效確切，可減輕患兒痛苦，縮短住院時間，值得臨床推廣應用。
목적：탐토무관화미창경피신경취석술치료영유인신결석적림상료효，이공삼고。방법：선취필자소재의원2012년4월-2013년3월수치적85례영유인신결석환인작위연구대상，근거수궤수자표법장기분위대조조42례화시험조43례。대조조급여표준미창경피신경취석술치료，시험조급여무관화미창경피신경취석술치료。술후수방1년，관찰비교량조환인적수술시간、주원시간、결석일차청제정황、결석복발정황급병발증발생정황등지표적차이。결과：량조수술시간、결석일차청제솔급결석복발솔비교차이균무통계학의의(P>0.05)。시험조적주원시간(4.12±0.85)d명현단우대조조적(6.84±1.03)d，술후병발증발생솔2.33%(1/43)명현저우대조조적26.19%(11/42)，차이균유통계학의의(P<0.05)。결론：채용무관화미창경피신경취석술치료영유인신결석료효학절，가감경환인통고，축단주원시간，치득림상추엄응용。
Objective:To investigate the clinical effect of tubeless minimally invasive percutaneous nephrolithotomy in the treatment of kidney stones in infants for reference.Method:85 children with kidney stones in infants admitted to our hospital from April 2012 to March 2013 were selected as research objects,they were divided into the control group for 42 cases and the experimental group for 43 cases according to the random number table method.The control group received standard of minimally invasive percutaneous nephrolithotomy treatment,the experimental group received tubeless minimally invasive percutaneous nephrolithotomy treatment.All patients were followed up for 1 year,the operation time,hospitalization time,stone clearance situation,calculus recurrence situation and the occurrence of complications between the two groups were observed and compared.Result:There were no statistically significant differences in the operation time,stone clearance rate and gallstone recurrence rate between the two groups(P>0.05).The hospitalization time of experimental group was (4.12±0.85)d,it was significantly shorter than (6.84±1.03)d of control group,the incidence of postoperative complications in experimental group was 2.33%(1/43), it was significantly lower than 26.19%(11/42) in control group,the differences were statistically significant(P<0.05).Conclusion:The clinical effect of tubeless minimally invasive percutaneous nephrolithotomy in the treatment of kidney stones in infants is exactly,can relieve pain of children,shorten the hospitalization time,is worthy of clinical application.
