无管化与普通微创经皮肾手术治疗肾结石的临床疗效分析

Clinical efficacy of tubeless and minimally invasive percutaneous nephrolithotomy in the treatment of renal calculi

目的:探讨分析无管化与普通微创经皮肾手术治疗肾结石的临床疗效。方法:选取吉林省吉林市人民医院2017年8月至2018年8月收治的120例肾结石患者为研究对象,根据所有患者入院顺序,将其分为观察组(n=60)和对照组(n=60),予以针对性治疗,对照组给予常规微创经皮肾手术治疗措施,观察组接受无管化经皮肾手术治疗措施,观察两组患者临床治疗效果,探究两种治疗方式针对肾结石的临床应用价值。结果:观察组患者手术时间、胃肠功能恢复时间及住院时间均显著低于对照组,术后24 h疼痛评分显著优于对照组,术后镇痛药物需求率及术后再输血率均显著低于对照组,差异有统计学意义(P<0.05)。结论:掌握手术适应症,采用无管化手术方式治疗肾结石效果更加显著,能够有效缩短手术时间,提升胃肠功能恢复效果,提升术后恢复效率,避免术后不良反应,值得推广。

Objective: To investigate and analyze the clinical effect of tubeless and minimally invasive percutaneous nephrolithotomy for renal calculi. Methods: A total of 120 patients with renal calculi treated in Jilin People’s Hospital from August 2017 to August 2018 were selected as objects. According to the order of admission,they were divided into two groups: observation group (n = 60) and control group (n= 60). The control group was treated with routine minimally invasive percutaneous nephrectomy. The observation group was treated with tubeless percutaneous nephrectomy. Clinical treatment effect and clinical application value of two methods of treatment for kidney stones were observed. Results: The operation time,gastrointestinal function recovery time and hospitalization time of the observation group were significantly lower than those of the control group. The pain score at 24 hours after operation and blood transfasion were significantly lower than those of the control group (P<0.05). Conclusion: Based on the indications of operation,using tubeless operation for renal calculi is more effective,can effectively shorten the operation time,improve the recovery of gastrointestinal function and the efficiency of postoperative recovery,avoid postoperative adverse reactions,and is worth promoting.