微创经皮肾镜碎石术与传统开放手术治疗肾结石疗效对比研究

Comparative study on curative effect of minimally invasive percutaneous nephrolithotomy and the traditional open operation in treatment of renal calculus

目的:探讨在治疗肾结石方面微创经皮肾镜碎石术相比于传统开放手术的优势。方法:选择患有肾结石的100例患者,随机分为微创组和传统组各50例,微创组采用微创经皮肾镜碎石术的方法治疗患者,传统组则采用传统的开放式手术方法将结石取出,手术结束后观察两组患者的术后指标,包括手术耗时、手术过程中的出血量、结石清除率、术后住院时间以及并发症情况。结果:微创组患者的手术耗时、术后住院时间、手术出血量和并发症发生率均明显少于传统组患者,结石清除率明显升高,微创组的并发症较轻,差异有统计学意义(P<0.05)。结论:在治疗肾结石方面,微创经皮肾镜碎石术相比于传统开放式手术疗效更好,手术时间少且患者预后较好,出血量少,并发症出现较少且轻,结石清除率高,值得向临床推荐。

Objective To investigate the curative effect of minimally invasivc percutaneous nephrolithotomy and the traditional open operation in treatment of renal calculus.Methods Randomly selected 100 patients of renal calculus and divided into two groups,minimally invasive group used minimally invasive percutaneous nephrolithotomy, the traditional open operation group were treated with traditional open operation.compared two groups with the operation time,bleeding volume during operation,postoperative hospital stay and complications.Results The operation time. hospital stay. operation bleeding and complications in the minimally invasive group in were obviously fewer than those of the traditional group patients,stone clearance rate improved,complications of operation bleeding,the difference was statistically significant（/） 〈 0.05）.Conclusion In the treatment of renal calculi,minimally invasive percutaneous nephrolithotomy had better prognosis in patients with less time,less bleeding,High stone clearance rate,less complications.