摘要
目的:分析与比较对肾结石患者进行标准通道经皮肾镜碎石取石术与微通道经皮肾镜碎石取石术的效果。方法:对近年来仪陇县人民医院收治的105例肾结石患者的临床资料进行回顾性研究。按照这105例患者入院顺序的单双号,将其分为对照组和观察组。对对照组患者进行标准通道经皮肾镜碎石取石术,对观察组患者进行微通道经皮肾镜碎石取石术,然后比较两组患者的各项手术指标。结果:观察组患者的Ⅰ期结石清除率高于对照组患者(P<0.05),其术中的出血量少于对照组患者(P<0.05),其手术持续的时间长于对照组患者(P<0.05)。术后,两组患者Scr和BUN的水平均明显下降,与术前相比差异有统计学意义(P<0.05),但组间上述指标相比差异无统计学意义(P>0.05)。两组患者在手术后均未出现严重的并发症。结论:与对肾结石患者进行标准通道经皮肾镜碎石取石术相比,对其进行微通道经皮肾镜碎石取石术能提高其结石的清除率,减少其术中的出血量,但施术所用的时间较长。临床上应根据患者的实际情况为其选择最佳的手术方式。
objective： to analyze and compare the effects of standard transcutaneous lithotripsy with microchannel percutaneous lithotripsy in patients with renal calculi. Methods： retrospective study was conducted on the clinical data of 105 patients with renal calculi admitted to people＇s hospital of yilong county in recent years. The 105 patients were divided into control group and observation group according to the single and double number of admission sequence. Standard transcutaneous lithotripsy with percutaneous nephrolithotomy was performed for the control group, and microchannel percutaneous lithotripsy with percutaneous nephrolithotripsy was performed for the observation group. Results： observation group of patients with patients with stage Ⅰ calculi clearance rate is higher than the control group（P〈 0.05）, patients with perioperative blood loss less than in the control group（P〈 0.05）, the operation duration is longer than the control group patients（P〈 0.05）. Postoperatively, Scr and BUN levels in both groups were significantly decreased, compared with the preoperative difference was statistically significant（P〈 0.05）, but compared to the index difference between groups have no statistical significance（P〉 0.05）. Neither group had serious complications after the operation. Conclusions： in patients with kidney stones with standard channel percutaneous nephroscope lithotripsy removed technique, compared to microchannel percutaneous nephroscope lithotripsy removed technique can improve the stone clearance rate, reduce the perioperative blood loss, in its but the operation time is longer than the other. The best surgical method should be chosen according to the patient＇s actual situation.
作者
何仁松
He rensong(people＇ s hospital of yilong county,yilong 637000,sichua)
