探讨经皮肾镜气压弹道碎石术治疗肾结石、输尿管上段结石的临床效果

The Clinical Effect of Percutaneous Nephrolithotomy by Percutaneous Nephrolithotomy for the Treatment of Calculi of Kidney and Upper Ureter

目的分析研讨经皮肾镜气压弹道碎石术治疗肾结石、输尿管上段结石疾病的临床效果。方法用1:1随机数字法分两组讨论2015年3月至2016年4月我院收治的106例肾结石、输尿管上段结石患者,每组53例。对照组接受开放手术治疗,研究组接受经皮肾镜气道弹道碎石术治疗,观察治疗状况,如手术时间、出血量、住院时间、下床活动时间等,并比较。结果研究组住院时间、下床活动时间、出血量、手术时间均低于对照组,且P<0.05。研究组结石清除率96.23%高于对照组86.79%,止痛药使用率20.75%、术后发热率24.53%低于对照组43.40%、39.62%,且P<0.05。结论建议临床治疗肾结石、输尿管上段结石疾病给予经皮肾镜气压弹道碎石术,其疗效突出,且患者住院时间等得到缩短,促进康复,值得应用。

Objective To analyze the clinical effect of percutaneous nephroscopic pneumatic lithotripsy in the treatment of renal stone disease.Methods A total of 106 cases of renal calculi and upper ureteral calculi treated in our hospital from March 2015 to April 2016 were divided into two groups by 1：1 random digital method,53 cases in each group.The control group was treated with open operation.The study group received percutaneous nephrolithotomy and airway ballistic lithotripsy.The treatment time was observed,such as operative time,bleeding volume,hospital stay and ambulation time,and compare.Results The study group hospitalization time,ambulation time,bleeding volume,operation time were lower than the control group,and P〈0.05.The stone clearance rate was 96.23% in the study group,86.79% in the control group and 20.75% in the control group.The postoperative fever rate was 24.53% lower than that in the control group 43.40%,39.62%,P〈0.05.Conclusion It is suggested that percutaneous nephrolithotracheal lithotripsy should be given to clinical treatment of nephrolithiasis.The curative effect is outstanding,and the length of hospital stay and so on are shortened and the rehabilitation is worth to be applied.