CAJ | 학술논문

目的：分析并探讨对多次体外冲击波碎石治疗失败的肾结石患者进行经皮肾镜取石手术治疗的临床效果。方法选取2010年1月～2014年12月本院收治的100例多次体外冲击波碎石失败的肾结石患者作为研究对象，按照随机分配的方式，将其分为对照组（n＝50）和观察组（n＝50）。对照组患者进行传统手术治疗，观察组患者进行经皮肾镜取石手术治疗。观察对比对照组患者和观察组患者的手术时间、手术过程中的出血量、住院时间、结石清除率以及并发症发生情况。结果与对照组相比，观察组患者在手术时间、术中出血量、住院时间方面差异均具有显著性（ P ＜0．05）。对照组患者的结石清除率为74％，观察组患者的结石清除率为92％，观察组患者的结石清除率明显高于对照组（ P ＜0．05）。对照组患者手术后并发症的发生率为26％，观察组患者的并发症发生率为8％，观察组患者的并发症发生情况明显优于对照组（ P ＜0．05）。结论对多次体外冲击波碎石失败的肾结石患者进行经皮肾镜取石手术治疗，能够有效缩短患者手术时间，减少患者手术中的出血量，加快患者的康复速度，同时还具有较高的安全性，值得被广泛应用于肾结石患者的临床治疗中。
목적：분석병탐토대다차체외충격파쇄석치료실패적신결석환자진행경피신경취석수술치료적림상효과。방법선취2010년1월～2014년12월본원수치적100례다차체외충격파쇄석실패적신결석환자작위연구대상，안조수궤분배적방식，장기분위대조조（n＝50）화관찰조（n＝50）。대조조환자진행전통수술치료，관찰조환자진행경피신경취석수술치료。관찰대비대조조환자화관찰조환자적수술시간、수술과정중적출혈량、주원시간、결석청제솔이급병발증발생정황。결과여대조조상비，관찰조환자재수술시간、술중출혈량、주원시간방면차이균구유현저성（ P ＜0．05）。대조조환자적결석청제솔위74％，관찰조환자적결석청제솔위92％，관찰조환자적결석청제솔명현고우대조조（ P ＜0．05）。대조조환자수술후병발증적발생솔위26％，관찰조환자적병발증발생솔위8％，관찰조환자적병발증발생정황명현우우대조조（ P ＜0．05）。결론대다차체외충격파쇄석실패적신결석환자진행경피신경취석수술치료，능구유효축단환자수술시간，감소환자수술중적출혈량，가쾌환자적강복속도，동시환구유교고적안전성，치득피엄범응용우신결석환자적림상치료중。
Objectives To analysis and discuss the clinical effect of percutaneous nephrolithotomy opera-tion for the treatment of renal calculiextracorporeal shock wave lithotripsy in the treatment of multiple failures .Meth-ods Select 100 cases of repeated extracorporeal shock wave lithotripsy failure renal calculi patients during 2010 January 2014 year December in our hospital as the research object, according to random allocation method, which can be divided into control group (n=50) and observation group (n=50).The control group was treated with the traditional operation treatment, the observation group were treated with percutaneous nephrolithotomy operation treat-ment.Comparative observation of patients in the control group and the observation group of patients with operation time, amount of bleeding during operation,hospitalization time, stone clearance rate and complications.Results Compared with the control group,the observation group patients in theoperation time , amount of bleeding, hospitali-zation time were significant( P <0.05).The control group of patients with the calculi clearance rate was74 %The observation group of patients with the calculi clearance rate was 92%, the observation group of patients with calculi clearance rate was significantly higher than that in control group( P <0.05).Patients in the control group after oper-ation have incidence of complications was 26%, the percentage in patients in the observation group was 8%, the in-cidence of complications of the patients in the observation group was significantly better than the control group ( P <0.05).Conclusions For patients with kidney stones after repeated extracorporeal shockwave lithotripsy for per-cutaneous nephrolithotomy operationtreatment, can effectively shorten the operation time of patients, reduce the a-mount of bleeding in patients with operation, to speed up the recovery of patients, but also has the advantages of high safety, worthy of clinical extensive application in patients with kidney stones in the .