改良经皮肾镜钬激光碎石术治疗复杂肾结石患者的临床效果观察

Clinical effectiveness of improved percutaneous nephrolithotomy holmium laser lithotripsy for complicated renal calculi

目的:探讨改良经皮肾镜钬激光碎石术治疗复杂肾结石的临床效果。方法:以收治的80例复杂肾结石患者作为研究对象,将其随机分为对照组与观察组,对照组采用开放性取石术治疗,观察组采用改良经皮肾镜钬激光碎石术治疗。对比分析两组患者手术时间、术中出血量、结石清除效果、住院时间等。结果:观察组治疗总有效率为97.5%,结石清除率为87.5%,明显高于对照组的80.0%、52.5%,P<0.05;观察组手术时间、术中出血量、住院时间、术后疼痛、发热情况优于对照组,差异有统计学意义(P<0.05)。结论:与开放性取石术相比,改良经皮肾镜钬激光碎石术治疗复杂肾结石的效果更佳,具有结石清除率高,手术时间短、术中出血量少的优势,可缩短住院时间,促进患者尽快康复,具有较高应用价值。

Objective:To explore the clinical efficacy of improved percutaneous renal ureteroscopy holmium laser lithotripsy in the treatment of complicated renal calculi.Methods:In our hospital 80 cases of complicated kidney stones were randomly divided into control group and observation group,respectively given open nephrolithotomy,and modified percutaneous renal ureteroscopy holmium laser lithotripsy.The operative time,intraoperative blood loss,stone removal rate,and length of hospital stay,were analyzed in two groups.Results:The total effective rate and tone clearance rate in the observation group were 97.5%and 87.5%respectively,significantly higher than those in in the control group(80.0%and 52.5%respectively)(P<0.05).The operative duration was shorter,intraoperative amount of bleeding was less,hospital stay was shorted,and the incidence of postoperative pain and fever was lower in the observation group than in the control group(P<0.05).Conclusions:Improved percutaneous renal ureteroscopy holmium laser lithotripsy for the treatment of complicated renal calculi had advantages over open nephrolithotomy,including higher calculi clearance rate,shorter operative duration and hospital stay and less intra-operative amount of bleeding.