微通道与标准通道经皮肾镜取石术治疗复杂性肾结石的比较

发布时间：2018-02-02 23:51

本文关键词： 微通道标准通道经皮肾镜取石术复杂性肾结石疗效比较　出处：《中国内镜杂志》2015年01期 　论文类型：期刊论文

【摘要】：目的对比分析复杂性肾结石患者采用微通道与标准通道经皮肾镜取石术的效果和安全性。方法120例复杂性肾结石患者随机分组,研究组和对照组各60例,研究组采用微通道经皮肾镜取石术,对照组采用标准通道经皮肾镜取石术。结果研究组输血率和结石清除率与对照组差异无显著性(P0.05),但术后高热发生率明显低于对照组,数据间比较差异有显著性(P0.05)。研究组平均手术时间明显短于对照组,数据间比较差异有显著性(P0.05);两组术后平均住院时间差异无显著性(P0.05)。结论微通道经皮肾镜取石术可缩短手术时间、减轻对肾脏组织的损伤、减少术后并发症的发生,具有较好的治疗效果和安全性。
[Abstract]:Objective to compare the efficacy and safety of microchannel and standard channel percutaneous nephrolithotomy in patients with complicated renal calculi. Methods 120 patients with complicated renal calculi were randomly divided into study group and control group (n = 60 each). The microchannel percutaneous nephrolithotomy was used in the study group and the standard channel percutaneous nephrolithotomy was used in the control group. Results there was no significant difference in blood transfusion rate and stone clearance rate between the study group and the control group (P 0.05). But the incidence of high fever after operation was significantly lower than that in the control group, and there was a significant difference between the two groups (P 0.05). The average operative time in the study group was significantly shorter than that in the control group. There was a significant difference between the data (P 0.05). There was no significant difference in the average hospital stay between the two groups (P 0.05). Conclusion the microchannel percutaneous nephrolithotomy can shorten the operation time, reduce the injury of renal tissue and reduce the incidence of postoperative complications. It has good therapeutic effect and safety.
【作者单位】：中南大学湘雅医院泌尿外科;湖南省株洲恺德医院泌尿外科;
【分类号】：R699.2
【正文快照】： 复杂性肾结石在临床并不少见,主要指直径超过2.5 cm的结石,类型包括马蹄型结石、鹿角型结石、异位结石、多发结石、感染石、孤立肾结石等[1]。复杂性肾结石对手术治疗提出更高的要求,目前经皮肾镜取石术是常见术式,且效果显著[2]。标准通道与微通道碎石的特点不同,碎石的效果

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