临床医药文献电子杂志
臨床醫藥文獻電子雜誌
림상의약문헌전자잡지
Journal of Clinical Medical Literature (ElectronicEdition)
2015年
23期
4721-4722
,共2页
开放性肾切开取石术%经皮肾镜取石术%肾结石
開放性腎切開取石術%經皮腎鏡取石術%腎結石
개방성신절개취석술%경피신경취석술%신결석
Open Operation of nephrolithotomy%Percutaneous nephrolithotomy%Kidney stone
目的：探讨经皮肾镜取石术与开放性肾切开取石术治疗肾结石的疗效。方法选取2012年1月～2013年6月在我院采用经皮肾镜取石术治疗的肾结石患者76例，和同期行开放性肾切开取石术的79例患者，比较两组患者手术基本情况、疗效和并发症发生率。结果观察组的手术时间、住院时间、肠功能恢复时间均短于对照组，差异具有统计学意义（P＜0.05）。观察组患者术中出血量少于对照组，差异有统计学意义（P＜0.05）。两组患者术后结石清除率差异无统计学意义（P＞0.05）。观察组术后发热、术后出血、术后感染发生率均低于对照组，差异有统计学意义（P＜0.05）。结论经皮肾镜取石术治疗肾结石对患者机体损伤较小，疗效好，并发症发生率较低，值得临床推广。
目的：探討經皮腎鏡取石術與開放性腎切開取石術治療腎結石的療效。方法選取2012年1月～2013年6月在我院採用經皮腎鏡取石術治療的腎結石患者76例，和同期行開放性腎切開取石術的79例患者，比較兩組患者手術基本情況、療效和併髮癥髮生率。結果觀察組的手術時間、住院時間、腸功能恢複時間均短于對照組，差異具有統計學意義（P＜0.05）。觀察組患者術中齣血量少于對照組，差異有統計學意義（P＜0.05）。兩組患者術後結石清除率差異無統計學意義（P＞0.05）。觀察組術後髮熱、術後齣血、術後感染髮生率均低于對照組，差異有統計學意義（P＜0.05）。結論經皮腎鏡取石術治療腎結石對患者機體損傷較小，療效好，併髮癥髮生率較低，值得臨床推廣。
목적：탐토경피신경취석술여개방성신절개취석술치료신결석적료효。방법선취2012년1월～2013년6월재아원채용경피신경취석술치료적신결석환자76례，화동기행개방성신절개취석술적79례환자，비교량조환자수술기본정황、료효화병발증발생솔。결과관찰조적수술시간、주원시간、장공능회복시간균단우대조조，차이구유통계학의의（P＜0.05）。관찰조환자술중출혈량소우대조조，차이유통계학의의（P＜0.05）。량조환자술후결석청제솔차이무통계학의의（P＞0.05）。관찰조술후발열、술후출혈、술후감염발생솔균저우대조조，차이유통계학의의（P＜0.05）。결론경피신경취석술치료신결석대환자궤체손상교소，료효호，병발증발생솔교저，치득림상추엄。
Objective To compare the clinical therapeutic effects of percutaneous nephrolithotomy and open operation of nephrolithotomy in treatment of kidney stone. Methods 76 kidney stone patients treated with percutaneous nephrolithotomy (observation group) and 79kidney stone patients treated with open operations of nephrolithotomy (control group) were collected in our hospital from January 2012 to June 2013, and the basic conditions,clinical treatment effectiveness and complications of the operations were compared between the two groups. Results The operative time,length of hospital stay and intestinal function recovery time of the observation group were all shorter than those of the control group,and the differences were statistically significant (P<0.05).The intraoperative hemorrhage volume of the observation group was less than that of control group,and the differences were statistically significant (P<0.05). The difference in stone -free rate between the two groups had no statistical significance (P>0.05)). The incidence of postoperative fever, postoperative bleeding, postoperative infection were all lower than the observation group,and the difference between the two groups had statistical significance(P<0.05). Conclusion Percutaneous nephrolithotomy in treatment of kidney stone has smaller damage to the patients ,better curative effect and lower incidence of complications ,and which was worthy of clinical promotion.
