CAJ | 학술논문

目的：对微创经皮肾镜取石术在泌尿系统结石疾病治疗中的临床应用效果及其安全性进行观察与分析。方法随机选取该院2013年11月—2014年11月所收治的90例泌尿系统结石患者作为实验的对象，按随机数字表法将其分成两组，即实验组与对照组，每组各有45例患者，其中对照组患者予以开腹手术进行治疗，实验组患者予以微创经皮肾镜取石术进行治疗，且对其治疗的效果与并发症发生情况加以观察与比较。结果实验组患者的手术时间、术中出血量、住院时间以及术后第一次如厕时间等指标均优于对照组患者，差异有统计学意义(P<0.05)；经手术治疗之后，实验组中有6例患者发生并发症，其发生率为13.3%(6/45)，而对照组中有16例患者发生并发症，其发生率为35.6%(16/45)，组间并发生发生率相比较，差异有统计学意义(P<0.05)。结论在临床上对肾结石患者予以微创经皮肾镜取石术进行治疗，疗效确切，并发症发生率低，值得大力推广与运用。
목적：대미창경피신경취석술재비뇨계통결석질병치료중적림상응용효과급기안전성진행관찰여분석。방법수궤선취해원2013년11월—2014년11월소수치적90례비뇨계통결석환자작위실험적대상，안수궤수자표법장기분성량조，즉실험조여대조조，매조각유45례환자，기중대조조환자여이개복수술진행치료，실험조환자여이미창경피신경취석술진행치료，차대기치료적효과여병발증발생정황가이관찰여비교。결과실험조환자적수술시간、술중출혈량、주원시간이급술후제일차여측시간등지표균우우대조조환자，차이유통계학의의(P<0.05)；경수술치료지후，실험조중유6례환자발생병발증，기발생솔위13.3%(6/45)，이대조조중유16례환자발생병발증，기발생솔위35.6%(16/45)，조간병발생발생솔상비교，차이유통계학의의(P<0.05)。결론재림상상대신결석환자여이미창경피신경취석술진행치료，료효학절，병발증발생솔저，치득대력추엄여운용。
Objective To observe and analyze the clinical efficacy and safety of minimally invasive percutaneous nephrolithotomy in the treatment of calculus in urinary system. Methods 90 patients with urinary calculi treated in our hospital during November 2013 and November 2014 were selected as the experimental object and randomly divided into two groups, namely the experimental group and the control group, 45 patients in each group. The patients in control group were given open operation, while those in the experimental group underwent minimally invasive percutaneous nephrolithotomy, and their therapeutics effect and complications were observed and compared. Results The operation time, intraoperative blood loss, hospitalization time and first defecation time after operation and other indicators in the experimental group were superior to those in the control group, and the differences were statistically significant, P<0.05. After treatment, of all the 45 patients, 6 cases (13.3%) were found with complications in the exper-imental group and 16 cases (35.6%) in the control group, and the difference was statistically significant, P<0.05. Conclusion Min-imally invasive percutaneous nephrolithotomy is worthy of promotion and application in the clinical treatment of patients with renal calculi because of its.