【摘要】 目的探讨微创经皮肾镜取石术治疗肾结石的临床效果。方法选取78例肾结石患者,随机分为对照组38例和研究组40例,对照组患者均采用传统开放式手术方法治疗,研究组患者采用经皮肾镜取石术。结果研究组患者手术时间、术中出血量、术后造瘘和住院时间分别为(77.32±15.42)min、(81.26±17.38)ml、(3.29±2.36)d、(8.32±3.72)d,明显短于对照组(102.86±26.44)min、(138.02±21.12)ml、(14.88±4.86)d、(15.92±5.43)d,差异均有统计学意义(P<0.05);研究组40例患者中4例(10%)出现发热,对照组38例中6例(15.79%)出现发热并发症,均经止血、抗议生素等治疗痊愈。结论微创经皮肾镜取石术治疗肾结石具有手术时间短、出血量少等优势,可临床推广使用。更多还原

【Abstract】 Objective To investigate the minimally invasive percutaneous nephrolithotomy lithotomy clinical effects of the treatment of kidney stones.Methods 78 cases of patients with kidney stones,38 cases of the control group and the group of 40 patients were randomly divided into control group,patients were treated with traditional open surgical methods in the treatment,the study group were treated with percutaneous nephrolithotomy lithotomy.Results The study group patients operative time,blood loss,postoperative fistula and hospitalization time were(77.32±15.42) min(81.26± 17.38) ml,(3.29±2.36) d(8.32 ±3.72) days,significantly shorter than the control group(102.86±26.44) min(138.02±21.12) ml,(14.88±4.86) d,(15.92 ±5.43) d,the differences were statistically significant(P<0.05);study group of 40 patients fever in 4 patients(10%) in the control group,38 cases,6 cases(15.79%),fever complications Bleeding protest such as antibiotic treatment cured.Conclusion minimally invasive percutaneous nephrolithotomy the lithotomy treatment of kidney stones with shorter operative time,less bleeding,and other advantages,the clinical use.更多还原