经皮肾镜与开放性手术在复杂性肾结石治疗效果的对比研究

目的:探讨对复杂性肾结石患者行经皮肾镜与开放性手术治疗的临床效果。方法:将2012年3月~2017年3月我院收治的84例复杂性肾结石患者作为研究对象,根据治疗方法的不同分为经皮肾镜组和开放性组,各42例。开放性组行开放性手术治疗,经皮肾镜组行经皮肾镜手术治疗。观察并比较两组并发症发生几率以及各项手术指标的变化情况。结果:经皮肾镜组并发症的发生几率2例(4.76%)显著低于开放性组8例(19.05%),经皮肾镜组的手术时间、术中出血量、切口长度、拔除肾造瘘管时间以及住院时间均优于开放性组,P<0.05为差异具有统计学意义。结论:对复杂性肾结石患者行经皮肾镜手术治疗,不仅能够在有一定程度上减少并发症的发生,同时,还能够缩短手术时间和住院时间,利于患者的术后康复。

Objective:To investigate the clinical effect of complex renal calculi treated with percutaneous nephrolithotomy and open surgery.Methods:84 cases of patients with complex renal calculi will be March 2012~2017 year in March in our hospital as the research object,according to the different treatment methods are divided into percutaneous nephrolithotomy group and open group,respectively in 42 cases.The open group underwent open surgery,percutaneous nephrolithotomy group underwent percutaneous nephrolithotomy surgery.Observation and comparison of changes in two groups the incidence of complications and the operation indexes.Results:The incidence of complications in the percutaneous nephrolithotomy group was significantly lower than that in the open group(n=8)(n=8),the operative time,intraoperative blood loss,incision length,Time and hospital stay were better than the open group,P<0.05 for the difference was statistically significant.Conclusion:for the patients with complex renal calculi treated with percutaneous nephrolithotomy surgery,not only can also occur in.To a certain extent,reduce the complications,shorten the operation time and hospitalization time can also,can improve the rehabilitation of patients after operation.