中国卫生标准管理
中國衛生標準管理
중국위생표준관리
CHINA HEALTH STANDARD MANAGEMENT
2015年
8期
111-112
,共2页
经皮肾超声%气压弹道碎石技术%复杂性肾结石%临床疗效
經皮腎超聲%氣壓彈道碎石技術%複雜性腎結石%臨床療效
경피신초성%기압탄도쇄석기술%복잡성신결석%림상료효
Percutaneous renal ultrasound%Pneumatic lithotripsy%Complex renal calculi%Clinical effect
目的：探讨经皮肾超声联合气压弹道碎石技术治疗复杂性肾结石临床疗效。方法选取2013年7月～2014年8月来我院就诊的复杂性肾结石患者150例，所有患者随机分为观察组及对照组各75例。观察两组患者手术时间，术中出血量，拔管时间，术后住院时间等指标。观察两组患者术后并发症。术后3个月对所有患者进行随访，观察结石清除率。结果观察组的手术时间，术中出血量，拔管时间，术后住院时间等指标均短于对照组，两组比较差异显著（P<0.05）。观察组的并发症发生率为8.0%，明显低于对照组的22.67%，两组比较差异显著（P<0.05）。观察组结石残留5例，对照组结石残留13例，两组结石清除率比较，差异显著（P<0.05）。结论对复杂性肾结石采用经皮肾超声联合气压弹道碎石技术治疗可提高临床疗效，减少术后并发症少，结石清除率高。
目的：探討經皮腎超聲聯閤氣壓彈道碎石技術治療複雜性腎結石臨床療效。方法選取2013年7月～2014年8月來我院就診的複雜性腎結石患者150例，所有患者隨機分為觀察組及對照組各75例。觀察兩組患者手術時間，術中齣血量，拔管時間，術後住院時間等指標。觀察兩組患者術後併髮癥。術後3箇月對所有患者進行隨訪，觀察結石清除率。結果觀察組的手術時間，術中齣血量，拔管時間，術後住院時間等指標均短于對照組，兩組比較差異顯著（P<0.05）。觀察組的併髮癥髮生率為8.0%，明顯低于對照組的22.67%，兩組比較差異顯著（P<0.05）。觀察組結石殘留5例，對照組結石殘留13例，兩組結石清除率比較，差異顯著（P<0.05）。結論對複雜性腎結石採用經皮腎超聲聯閤氣壓彈道碎石技術治療可提高臨床療效，減少術後併髮癥少，結石清除率高。
목적：탐토경피신초성연합기압탄도쇄석기술치료복잡성신결석림상료효。방법선취2013년7월～2014년8월래아원취진적복잡성신결석환자150례，소유환자수궤분위관찰조급대조조각75례。관찰량조환자수술시간，술중출혈량，발관시간，술후주원시간등지표。관찰량조환자술후병발증。술후3개월대소유환자진행수방，관찰결석청제솔。결과관찰조적수술시간，술중출혈량，발관시간，술후주원시간등지표균단우대조조，량조비교차이현저（P<0.05）。관찰조적병발증발생솔위8.0%，명현저우대조조적22.67%，량조비교차이현저（P<0.05）。관찰조결석잔류5례，대조조결석잔류13례，량조결석청제솔비교，차이현저（P<0.05）。결론대복잡성신결석채용경피신초성연합기압탄도쇄석기술치료가제고림상료효，감소술후병발증소，결석청제솔고。
Objective To explore the clinical efficacy for the treatment of complex renal calculi on ultrasonic percutaneous nephrolithotomy combined with pneumatic lithotripsy.Methods 150 patients with complex renal calculi from 2013 July to 2014 August in our hospital for treatment,all patients were randomly divided into observation group and control group with 75 cases in each group. Two groups were observed in patients with operation time,bleeding volume during operation,extubation time,postoperative hospitalization time index. Observed two groups of complications,3 months after operation in all the patients were followed up to observe,stone clearance rate were compared.Results Observation group operation time,bleeding volume during operation,extubation time,postoperative hospitalization time was shorter than that in the control group,the difference between the two groups was significant(P<0.05). Group of complications were observed in the incidence rate was 8%,significantly lower than the control group 22.67%,the difference between the two groups was significant(P<0.05). The observation group of 5 cases of residual stones,residual stones in 13 cases in control group,two groups of stone clearance rate comparison, difference was significant(P<0.05).Conclusion The use of complex renal calculi under ultrasound in percutaneous nephrolithotomy combined with pneumatic lithotripsy treatment can significantly improve the clinical efficacy,reduce the postoperative complications,high stone clearance rate,it is worthy of clinical application.
