摘要: |
目的 探讨经皮肾镜取石术治疗肾铸型结石的临床疗效。方法 选择2014年1月至2017年12月间我院收治的采用PCNL治疗的58例肾铸型结石患者作为PCNL组,另选取同期开放性手术治疗的55例肾铸型结石患者作为开放手术组,比较两组手术时间、术中失血量、住院时间、肾造瘘管留置时间、Ⅰ期结石清除率、治疗费用及术后并发症发生率等。结果 PCNL组住院时间和肾造瘘管留置时间均明显短于开放手术组,但手术时间则明显长于开放手术组(p<0.05)。PCNL组术中失血量均明显低于开放手术组,治疗费用明显高于对照组(p<0.05)。PCNL组Ⅰ期结石清除率低于开放手术组,但比较差异均无统计学意义(p>0.05)。PCNL组术后并发症发生率明显低于开放手术组(p<0.05)。结论 经皮肾镜取石术治疗肾铸型结石具有术中失血量少、住院时间短及并发症发生率低等优点,且Ⅰ期结石清除率与开放手术相当。 |
关键词: 经皮肾镜取石术 肾铸型结石 临床疗效 |
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The effect observation of invasive percutaneous nephrolithotomy in the treatment of renal staghorn calculi |
chenning
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the people,s hospital of Pubei county
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Abstract: |
Objective To explore the effect of invasive percutaneous nephrolithotomy in the treatment of renal staghorn calculi.Methods From January 2014 to December 2017,58 patients with renal staghorn calculi were selected to PCNL group,the patients were treated with PCNL.At the same time,55 patients with renal staghorn calculi were selected to open surgery group,the patients were treated with open surgery.The operation time,the intraoperative bleeding,hospitalization time,retention time of nephrostomy tube,the stone clearance rate of stage Ⅰ,treatment costs and the incidence rate of complication were compared between the two groups.Results The hospitalization time and retention time of nephrostomy tube in the PCNL group were significantly shorter than those in the open surgery group,bue the operation time was significantly longer than that in the open surgery group(p<0.05).The intraoperative bleeding in the PCNL group were significantly lower than that in the open surgery group, bue the treatment costs was significantly higher than that in the open surgery group(p<0.05).The stone clearance rate of stage Ⅰin the PCNL group was lower than that in the open surgery group,but there was no significantly diference between the two goups(p>0.05).The incidence rate of complication in the PCNL group were significantly lower than that in the open surgery group(p<0.05).Conclusion The invasive percutaneous nephrolithotomy in the treatment of renal staghorn calculi has advantage such as less intraoperative bleeding,short hospitalization time and low incidence rate of compication.and the stone clearance rate is similar to open surgery. |
Key words: Invasive percutaneous nephrolithotomy Renal staghorn calculi Clinical effect |