CAJ | 학술논문

目的：探讨微造瘘经皮肾镜吸引清石系统结合超声治疗鹿角形肾结石的临床疗效。方法将我院108例鹿角形肾结石患者以随机数字表法分为观察组与对照组,两组均为54例,观察组采取微造瘘经皮肾镜吸引清石系统结合超声治疗,对照组常规开放手术取石,比较两组手术指标及取石效果。结果观察组和对照组取石率分别为100%、96.30%,两组比较差异无统计学意义(χ2=0.509,P >0.05)；观察组手术时间、失血量、住院时间低于对照组,两组比较差异有统计学意义(P <0.001),观察组治疗费用高于对照组,两组比较差异有统计学意义(P <0.001)。结论微造瘘经皮肾镜吸引清石系统结合超声治疗鹿角形肾结石效果显著,较开放手术出血量小,手术及出院时间短,具有较高的临床应用价值。
목적：탐토미조루경피신경흡인청석계통결합초성치료록각형신결석적림상료효。방법장아원108례록각형신결석환자이수궤수자표법분위관찰조여대조조,량조균위54례,관찰조채취미조루경피신경흡인청석계통결합초성치료,대조조상규개방수술취석,비교량조수술지표급취석효과。결과관찰조화대조조취석솔분별위100%、96.30%,량조비교차이무통계학의의(χ2=0.509,P >0.05)；관찰조수술시간、실혈량、주원시간저우대조조,량조비교차이유통계학의의(P <0.001),관찰조치료비용고우대조조,량조비교차이유통계학의의(P <0.001)。결론미조루경피신경흡인청석계통결합초성치료록각형신결석효과현저,교개방수술출혈량소,수술급출원시간단,구유교고적림상응용개치。
Objective To explore the clinical curative effects of micro-fistula percutaneous nephrolithoto-my with aid of stone-breaking and suction system combined with ultrasonography for treatment of staghorn renal calculi. Methods A total of 108 patients with staghorn calculi admitted to our hospital were divided in-to an observation group and a control group by using a random number table method with 54 cases in each group.The observation group underwent micro - fistula percutaneous nephrolithotomy with aid of stone -breaking and suction system combined with ultrasonography while the control group underwent conventional open surgery for removing stone.The operative parameters and the effects of removing stones of the two groups were compared. Results The stone-free rate of the two groups were 100% and 96.30%,respective-ly,comparison of the two groups showed no statistically significant difference (χ2 =0.509,P >0.05);the ob-servation group had shorter operative time,less amount of blood loss and shorter length of hospital stay than the control group,comparison of the two groups showed statistically significant differences (P <0.001).The cost of the treatment for the observation group was more than the control group,comparison of the two groups showed statistically significant difference (P <0.001 ). Conclusion The clinical curative effects of stone-breaking and suction system in micro-fistula percutaneous nephrolithotomy combined with ultrasonography in treatment of staghorn renal calculi is significant.Comparing with open surgery,there is less amount of opera-tive blood loss and the length of hospital stay is shorter.It is of high value in clinical application.