CAJ | 학술논문

目的：分析探讨辅助小切口肾镜碎石术在极度肥胖患者中的应用价值。方法：选择极度肥胖肾结石患者162例，按照数字表法随机分为对照组和治疗组，每组81例。对照组采用经皮肾镜取石术治疗，治疗组采用小切口辅助经皮肾镜碎石术治疗，对比分析两组患者结石清除率及并发症发生情况。结果：治疗组平均手术时间、平均术中出血量、并发症发生率等均明显少于对照组，治疗组手术耐受性以及结石清除率均明显高于对照组，差异有统计学意义（P ＜0.05）。结论：采用小切口辅助肾镜碎石术治疗极度肥胖肾结石，安全性高，治疗效果好，不良反应少。
목적：분석탐토보조소절구신경쇄석술재겁도비반환자중적응용개치。방법：선택겁도비반신결석환자162례，안조수자표법수궤분위대조조화치료조，매조81례。대조조채용경피신경취석술치료，치료조채용소절구보조경피신경쇄석술치료，대비분석량조환자결석청제솔급병발증발생정황。결과：치료조평균수술시간、평균술중출혈량、병발증발생솔등균명현소우대조조，치료조수술내수성이급결석청제솔균명현고우대조조，차이유통계학의의（P ＜0.05）。결론：채용소절구보조신경쇄석술치료겁도비반신결석，안전성고，치료효과호，불량반응소。
Objective:To analyze the application value of small incision renal lens lithotripsy in patients with extremely o-besity. Methods:All 162 cases of extremely obesity kidney stones were selected as the research object,and were randomly di-vided into control group and treatment group with 81 cases in each group,according to the digital table method. The control group was treated with percutaneous renal lens,the treatment group with small incision assisted percutaneous renal lithotripsy, the stone removal rate and complications of the two groups were compared and analyzed. Results:The mean operation time, mean intraoperative blood loss and complication rate in treatment group were significantly less than the control group,treatment group operation tolerance and the stone clearance rate were significantly higher than those in the control group,the difference is statistically significant(P < 0. 05). Conclusion:Small incision assisted renal lithotripsy lithotripsy for the treatment of extremely obesity kidney stones,high safety,good treatment,less adverse reactions.