经皮肾镜碎石与开放手术治疗复杂性肾结石临床分析

Clinical analysis of percutaneous nephrolithotomy and open operation in the treatment of complex renal calculi

目的:分析和探讨在复杂性肾结石的临床治疗中,采用经皮肾镜碎石手术和开放手术进行治疗的临床情况和效果。方法:2010年5月-2013年5月收治复杂性肾结石患者88例。将他们依照抽签法平均划分成两组(每组44例)。对照组采用开放手术进行治疗;观察组采用经皮肾镜碎石手术进行治疗,并就两组的临床手术情况进行统计、对比和分析。结果:经过分析比较显示,观察组在手术时间、术中出血量、下床活动时间、住院时间、术后发热率以及止痛药应用率方面均明显优于对照组,组间对比具有统计学意义(P<0.05)。结论:采用经皮肾镜碎石手术对复杂性肾结石患者进行治疗,其治疗时间更短、疗效更好、恢复速度更快、并发症更少,因此,是一种理想、有效、安全的临床手术方法。

Objective:To analyze and explore the clinical situation and effect of percutaneous nephrolithotomy and open operation in the clinical treatment of complex renal calculi.Methods:88 cases with complex renal calculi were selected from May 2010 to May 2013.They were average divided into two groups(44 cases in each) in accordance with the draw method.The control group were treated with open operation.The observation group were treated with percutaneous nephrolithotomy.The clinical operation situations of two groups were collected,compared and analyzed.Results:After analysis and comparison,the operation time,intraoperatve blood soss,ambulation time,hospitalization time,postoperative fever rate and painkillers utility ratio of the observation group were significantly better than those of the control group.The comparison between the two groups were quite different with statistical significance(P<0.05).Conclusion:The percutaneous nephrolithotomy is applied in the treatment of complex renal calculi.Its treatment time is shorter.The curative effect is better.The recovery speed is faster.The complication is less.Therefore,it is an ideal,safe and effective clinical surgery method.