摘要
目的:探讨无管化经皮肾镜取石术的临床疗效并进行安全性评价,分析其应用前景。方法:分析我院泌尿外科收治152例尿路结石患者,随机均分为实验组和对照组,实验组采用无管化经皮肾镜取石术治疗,对照组采用传统开放手术治疗,比较两种手术方案的临床效果和安全性。结果:两种手术方式在手术时间、结石清除率方面无明显差异。实验组的住院费用明显高于对照组(P<0.05),但在住院时间、术中出血量、输血率、结石清除率、发热率、VAS疼痛评分以及镇痛药物需求量方面均明显优于对照组(P<0.01)。结论:相较于传统的经皮肾镜取石术,无管化经皮肾镜取石术治疗尿路结石的效果更为良好,临床实践中可作为一个优先考虑的手术方式,但其所需费用更高,具体选择时应综合考虑患者的经济承受能力。
Objective： To study the efficacy and safety of tubeless percutaneous nephrolithotomy （PCNL） on patients with urinarycalculi.Methods：152 patients were randomly divided into the observing group and the control group.The observing group were treated with tubeless percutaneous nephrolithotomy,while the control group were treated with traditional open surgery.Results：The total effect of the observing group was much better than that of the control group,with significant difference（P〈0.01） in the average hospitalization,amount of blood loss, rate of transfusion,the stone free rate, incidence of fever the average visual analogue scale （VAS）. Conclusion：Tubeless PCNL is safe,effective and performable,which can significantly decrease postoperative pain and discomfort and shorten the duration of hospitalization without increase of complications.
出处
《中国医药导刊》
2014年第10期1309-1310,1313,共3页
Chinese Journal of Medicinal Guide
