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腹腔镜肾盂切开联合肾镜治疗多发性肾结石的临床研究

Clinical Study of Laparoscopic Pyelotomy Combined with Nephroscopy in the Treatment of Multiple Kidney Stones
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摘要 目的 探讨腹腔镜肾盂切开联合肾镜在多发性肾结石患者中的应用价值。方法 100例多发性肾结石患者随机分为两组各50例,对照组采用经皮肾镜碎石取石术治疗,观察组采用腹腔镜肾盂切开联合肾镜碎石取石术治疗,比较两组的手术情况、术后并发症及结石残留情况。结果 观察组的术中出血量、术前术后血红蛋白(Hb)变化值、术后并发症发生率均低于对照组,结石完全清除率高于对照组(P <0.05)。结论 腹腔镜肾盂切开联合肾镜碎石取石术治疗多发性肾结石的效果较好,能够降低术中出血量,更好地清除结石,减少术后并发症发生。 Objective To explore the application value of laparoscopic pyelotomy combined with nephroscopy in patients with multiple kidney stones.Methods 100 cases of patients with multiple kidney stones were randomly divided into two groups,with 50 cases in each group.The control group was treated with percutaneous nephrolithotomy,and the observation group was treated with laparoscopic pyelotomy combined with nephrolithotomy.The surgical conditions,postoperative complications and residual stones were compared between the two groups.Results The intraoperative blood loss amount,change value of hemoglobin(Hb) before and after surgery,and incidence of postoperative complications of the observation group were lower than those of the control group,and the complete stone clearance rate was higher than that of the control group(P <0.05).Conclusions Laparoscopic pyelotomy combined with nephrolithotomy has a good effect in the treatment of multiple kidney stones,which can reduce intraoperative blood loss amount,better remove stones,and reduce the occurrence of postoperative complications.
作者 黄秋宝 陈光耀 曾纪莲 陈咏佳 谭健秋 程伟文 HUANG Qiubao;CHEN Guangyao;ZENG Jilian;CHEN Yongjia;TAN Jianqiu;CHENG Weiwen(1^(st) Department of Urology,Yangjiang People’s Hospital,Yangjiang 529500,China;Department of Radiology,Yangjiang People’s Hospital,Yangjiang 529500,China)
出处 《临床医学工程》 2022年第8期1047-1048,共2页 Clinical Medicine & Engineering
基金 阳江市医疗卫生类科技计划项目“腹腔镜肾盂切开联合肾镜治疗多发性肾结石的临床研究”(项目编号:SF2020019)。
关键词 多发性肾结石 腹腔镜肾盂切开 肾镜碎石取石术 Multiple kidney stones Laparoscopic pyelotomy Nephrolithotomy
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