微创经皮肾镜取石术治疗上尿路结石合并感染的临床研究

Clinical Study of Minimally Invasive Percutaneous Nephrolithotomy for Upper Urinary Calculi Complicated with Infection

目的 研究分析微创经皮肾镜取石术治疗上尿路结石合并感染的临床效果。方法 将90例合并感染的上尿路结石患者随机分组,包括常规组(行传统输尿管切开取石术)、研究组(行微创经皮肾镜取石术)。每组各占45例。结果 研究组并发症总发生率、手术失血量、白细胞水平更低,手术耗时、住院时间更短,与常规组差异显著(P<0.05)。结论 针对合并感染的上尿路结石患者而言,微创经皮肾镜取石术具有操作简单、失血量少、安全性高、并发症少、术后康复快等诸多优势,而且还可以有效控制患者感染症状,值得临床引起重视。

Objective To study a nd a nalyze the clinical effect of m inimally i nvasive percutaneous nephrolithotomy in the treatment of upper urinary calculi complicated with infection.Methods 90 patients with upper urinary calculi complicated with infection were randomly divided into two groups:routine group(traditional ureterotomy)and study group(minimally invasive percutaneous nephrolithotomy).Each group accounted for 45 cases.Results the total incidence of complications,the amount of blood lost during the operation,the leucocyte level were lower,the operation time was shorter and the hospital stay was shorter in the study group,which was significantly different from the conventional group(P<0.05).Conclusion For patients with upper urinary calculi complicated with infection,minimally invasive percutaneous nephrolithotomy has many advantages,such as simple operation,less blood loss,high safety,fewer complications and fast postoperative recovery,and it can effectively control the infection symptoms of patients,which is worthy of clinical attention.