国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2015年
3期
378-381
,共4页
肾结石%肾造口术,经皮%碎石术,激光
腎結石%腎造口術,經皮%碎石術,激光
신결석%신조구술,경피%쇄석술,격광
Kidney Calculi%Nephrostomy,Percutaneous%Lithotripsy,Laser
目的 探讨经皮肾镜钬激光碎石术分期治疗结石性脓肾的临床效果.方法 采取回顾性分析方法对本院2012年1月～2013年12月间70例结石性脓肾患者的临床资料进行分析,其中Ⅰ期经皮肾镜钬激光碎石术治疗的30例患者为A组,Ⅰ期穿刺后Ⅱ期经皮肾镜钬激光碎石术治疗的40例患者为B组,观察两组的临床效果.结果 A组结石清除率为76.7％,B组结石清除率为80.0％,差异比较无统计学意义(P＞0.05);A组住院时间、造痿管留置时间、住院费用均明显低于B组,差异有统计学意义(P＜0.05);A组手术时间高于B组,差异有统计学意义;A组术后感染性并发症发生率为20.0％,B组术后感染性并发症发生率为25.0％,差异无统计学意义(P＞0.05).结论 临床中对于结石性脓肾患者采取Ⅰ期经皮肾镜钬激光碎石术治疗效果优于Ⅱ期手术,能够缩短患者住院时间,降低住院费用,值得临床应用.
目的 探討經皮腎鏡鈥激光碎石術分期治療結石性膿腎的臨床效果.方法 採取迴顧性分析方法對本院2012年1月～2013年12月間70例結石性膿腎患者的臨床資料進行分析,其中Ⅰ期經皮腎鏡鈥激光碎石術治療的30例患者為A組,Ⅰ期穿刺後Ⅱ期經皮腎鏡鈥激光碎石術治療的40例患者為B組,觀察兩組的臨床效果.結果 A組結石清除率為76.7％,B組結石清除率為80.0％,差異比較無統計學意義(P＞0.05);A組住院時間、造痿管留置時間、住院費用均明顯低于B組,差異有統計學意義(P＜0.05);A組手術時間高于B組,差異有統計學意義;A組術後感染性併髮癥髮生率為20.0％,B組術後感染性併髮癥髮生率為25.0％,差異無統計學意義(P＞0.05).結論 臨床中對于結石性膿腎患者採取Ⅰ期經皮腎鏡鈥激光碎石術治療效果優于Ⅱ期手術,能夠縮短患者住院時間,降低住院費用,值得臨床應用.
목적 탐토경피신경화격광쇄석술분기치료결석성농신적림상효과.방법 채취회고성분석방법대본원2012년1월～2013년12월간70례결석성농신환자적림상자료진행분석,기중Ⅰ기경피신경화격광쇄석술치료적30례환자위A조,Ⅰ기천자후Ⅱ기경피신경화격광쇄석술치료적40례환자위B조,관찰량조적림상효과.결과 A조결석청제솔위76.7％,B조결석청제솔위80.0％,차이비교무통계학의의(P＞0.05);A조주원시간、조위관류치시간、주원비용균명현저우B조,차이유통계학의의(P＜0.05);A조수술시간고우B조,차이유통계학의의;A조술후감염성병발증발생솔위20.0％,B조술후감염성병발증발생솔위25.0％,차이무통계학의의(P＞0.05).결론 림상중대우결석성농신환자채취Ⅰ기경피신경화격광쇄석술치료효과우우Ⅱ기수술,능구축단환자주원시간,강저주원비용,치득림상응용.
Objectives To investigate the clinical effect of the per cutaneous telephotography holmium laser lithography treatment of staging of renal calculi of pus.Methods A retrospective approach to clinical data in our hospital between January 2012 to December 2013.70 cases of kidney stones in septic patients were analyzed,including per cutaneous telephotography Ⅰ holmium laser lithography of 30 patients group A.40 cases of patients with stage Ⅱ puncture per cutaneous telephotography holmium laser lithography for group B,the clinical effect was observed in both groups.Results A group of stone clearance rate was 76.7％ in group B stone clearance rate was 80.0％,the difference was not statistically significant (P ＞ 0.05);A group of hospital stay,making fistula catheter time,hospital costs were significantly lower than group B,the difference was significant (P ＜ 0.05);A group operative time than in group B,the difference was significant;A postoperative infectious complication rate was 20.0％ in group B infection complicated by postoperative disease incidence was 25.0％,the difference was not significant(P ＞ 0.05).Conclusions The clinical patients for kidney stones septic take Ⅰ per cutaneous telephotography holmium laser lithography is better than Ⅱ surgery,it is possible to shorten the hospital stay,and can reduce hospital costs.It is worthy of clinical application.
