细针一步穿刺法在经皮肾镜治疗鹿角型肾结石中的应用

发布时间：2018-11-10 15:30

【摘要】：目的:观察细针一步穿刺法在经皮肾镜治疗鹿角型肾结石治疗中的临床应用效果。方法:选取鹿角型肾结石患者78例,采用抽签法将患者分为对照组和研究组各39例,对照组行二步法经皮穿刺肾镜取石治疗,研究组行细针一步穿刺法经皮肾镜取石治疗,比较两组的临床治疗效果。结果:研究组的手术操作时间明显短于对照组,术中出血量明显少于对照组;研究组并发症发生率为2.56%,明显低于对照组的17.95%;研究组治疗有效率为94.87%,明显高于对照组的74.36%;研究组结石清除率为89.74%,明显高于对照组的69.23%,两组比较均有统计学差异(P0.05)。结论:使用细针一步穿刺经皮肾镜取石治疗鹿角型肾结石患者的临床效果优于二步法经皮穿刺肾镜取石治疗效果。
[Abstract]:Objective: to observe the clinical effect of one-step fine needle puncture in the treatment of staghorn nephrolithiasis by percutaneous nephroscopy. Methods: 78 patients with staghorn nephrolithiasis were divided into control group (n = 39) and study group (n = 39) by drawing lots. The control group was treated with percutaneous nephrolithotomy and the control group was treated with percutaneous nephrolithotomy. To compare the effect of clinical treatment between the two groups. Results: the operative time of the study group was significantly shorter than that of the control group, the amount of intraoperative bleeding was significantly less than that of the control group, and the incidence of complications in the study group was 2.56, which was significantly lower than that in the control group (17.95%). The effective rate of treatment in the study group was 94.87, which was significantly higher than that in the control group (74.36); the stone clearance rate in the study group was 89.74, which was significantly higher than that in the control group (69.23). There was statistical difference between the two groups (P0.05). Conclusion: the clinical effect of percutaneous nephrolithotomy with one step fine needle puncture is better than that of two step percutaneous nephrolithotomy in the treatment of staghorn nephrolithiasis.
【作者单位】：营口市中心医院
【分类号】：R699.2

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