经皮肾取石术和常规开放手术治疗肾结石疗效对比研究

Compared study of therapeutic effects of percutaneous nephrolithotomy and traditional open operation in the treatment of kidney stone

目的探讨经皮肾取石术和常规开放手术治疗肾结石临床效果。方法对来我院诊治的80例患者入院资料进行分析,根据患者不同治疗方法分为实验组和对照组。对照组采用开放手术治疗,实验组采用经皮肾取石术治疗,比较两组治疗效果。结果实验组手术时间为(69.5±11.9)min、术中出血量为(52.17±10.58)m L、术后(2.2±0.5)d能下地活动,术后(6.9±0.6)h肠胃功能恢复,均低于对照组(P<0.05);实验组手术后住院(8.8±0.7)d出院,短于对照组(P<0.05);实验组90.0%患者一期碎石成功,高于对照组的67.5%(P<0.05);87.5%肾积水好转,高于对照组的65.0%(P<0.05);实验组1例术后发热,2例手术后发生感染,1例尿外渗,并发症发生率为10.0%低于对照组的25.0%(P<0.05)。结论肾结石发病率较高,临床上采用经皮肾取石术治疗效果理想,值得推广使用。

Objective To explore the clinical effects of percutaneous nephrolithotomy （PCNL） and traditional open operation in the treatment of kidney stone. Methods The information on admission of 80 patients treated in our hospital was analyzed. The patients were divided into experimental group and control group according to their different therapies. Patients in the control group were treated with open operation and patients in the experimental group were treated with PCNL. The therapeutic effects of the two therapies with which patients in the two groups were treated respectively were compared. Results Of the patients in the experimental group, the operation time was （69.5±11.9） min, the blood lose was （52.17±10.58）mL, lying in bed time after operation was （2.2±0.5）d, gastrointestinal functions＇ recovery time after operation was （6.9±0.6）h. All of the above were shorter than that of in the control group （P 〈 0.05）. The hospital stays of the experimental group was （8.8±0.7）d, which is shorter than that of the control group （P 〈 0.05）. 90.0% patients in the experimental group were successfully treated with once procedure, which was higher that of 67.5% in the control group （P 〈 0.05）. 87.5% of patients with hydronephrosis in the experimental group improved, which was lower than that of 65.0 % in the control group （P 〈 0.05）. Of the patients in the experimental group, with one case of postoperative fever, two cases of postoperative infection, one case of urinary extravasation, the complication rate was 10.0% , which was lower than that of 25.0% in the control group （P 〈 0.05）. Conclusion The mortality of kidney stone is higher. PCNL in the treatment of kidney stone has a ideal clinical effects which is worthy of widely used.