微创经皮肾镜碎石术联合B超定位治疗复杂性肾结石的临床疗效及安全性分析

Clinical efficacy and safety analysis of minimally invasive percutaneous nephrolithotomy combined with B-ultrasound positioning in the treatment of complex renal calculi

目的:分析微创经皮肾镜碎石术联合B超定位治疗复杂性肾结石的临床疗效及安全性。方法:2018年10月-2020年7月收治复杂性肾结石患者78例,随机分为两组,各39例。对照组采用开放手术治疗;试验组采用微创经皮肾镜碎石术联合B超定位治疗。比较两组患者并发症情况及手术指标水平。结果:试验组手术用时、出血量、住院时间及并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论:使用微创经皮肾镜碎石术联合B超定位治疗复杂性肾结石,具有理想效果,可减少对患者的损伤,缩短手术用时,同时能够降低患者手术后出现并发症的概率。

Objective:To analyze the clinical efficacy and safety of minimally invasive percutaneous nephrolithotomy combined with B-ultrasound positioning therapy in the treatment of patients with complex renal calculi.Methods:From October 2018 to July 2020,78 cases of patients with complex renal calculi were enrolled,they were randomly divided into two groups with 39 cases in each group.The control group was treated with open surgery,while the experimental group was treated with minimally invasive percutaneous nephrolithotomy combined with B-ultrasound positioning therapy.The complications and operative indexes of the two groups were compared.Results:The operative time,amount of bleeding loss,length of hospital stays and incidence of complications of the experimental group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Minimally invasive percutaneous nephrolithotomy combined with B-ultrasound positioning therapy in the treatment of complex renal calculi has an ideal effect,which can reduce the injury to patients,shorten the time of operation and reduce the probability of complications after operation.