资源描述：
《微创经皮肾镜取石术治疗肾结石的临床研究》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、微创经皮肾镜取石术治疗肾结石的临床研究［摘要］目的旨在对比分析微创经皮肾镜取石术治疗肾结石与传统开放性手术治疗肾结石的手术效果。方法收集2009年1月〜2014年1月来我院进行治疗的肾结石患者120例，所有患者均有完整的临床资料，其中60例为行传统肾窦内肾盂切开取石术，设立为对照组，其余60例行微创经皮肾镜取石术，设立为微创组，比较两组的手术时间、术中出血量、术后造痿时间及住院时间及并发症。结果微创组60例患者均一期穿刺成功并顺利碎石，取石成功58例，成功率96.7%(58/60)o术中未出现气胸、结肠损伤等并发症，一
2、次清石率为80.0%(48/60)o术后生命体征平稳，无肾切除、伤口尿痿、液气胸等严重并发症发生。4例泌尿系感染者术后出现持续高热，经抗感染治愈。对照组术中出现十二指肠损伤1例、腹膜损伤2例、术后出现高热2例、肠痿1例，泌尿系感染8例。观察组与对照组的手术时间、术中出血量、术后造痿时间及住院时间比较，差异有统计学意义(P<0.05或P<0.01)o结论微创经皮肾镜取石术治疗肾结石具有创伤小、出血少、并发症少等优点，且可缩短住院时间，值得推广和应用。［关键词］肾结石；经皮肾镜取石术；微创；并发症［中图分类号］R692.4
3、［文献标识码］B［文章编号］1673-9701(2014)27-0027-03[Abstract]ObjectiveTocompareandanalyzetheeffectofminimal1yinvasivepercutaneousnephrolithotomycomparewithtraditionalopensurgicalintreatmentofkidneystonesoutcome.MethodsSelected120patientswithkidneystonesfromJanuary2009toJanu
4、ary2014inourhospital,al1patientshadcompleteclinicaldata,included60casesofrenalsinustraditionallinespelvislithotomy,establishedasthecontrolgroup,andtheremaining60routineminimallyinvasivepercutaneousnephrolithotomysurgery,sotupminimallyinvasivcgroup,theoperativeti
5、me,bloodloss,postoperativefistillatimeandhospitalstayandcomplicationswerecomparedbetweentwogroups・Results60patientswithinvasivegrouphomogeneityofpuncturesuccessandsmoothgravel,stonesuccessfulin58cases,thesuccessratewas96.7%(58/60).Intraoperativecomplicationspneu
6、mothorax,coloninjurydoesnotappear,one-timestoneclearaneeratewas80.0%(48/60).Stablevitalsignsaftersurgery,nonephrectomy,severecomplicationswoundfistula,pneumothoraxoccurred.4casesofpostoperativeurinarytractinfectionsustainedhighfever,anti-infectioncure・1caseduode
7、nalinjurycontrolgroupintraoperativeperitonealinjuryin2cases，2casesofpostoperativefever,intestinalfistula,urinarytractinfectionin8cases.Operativetime,bloodloss,postoperativefistulacomparethetimeanddurationofhospitalization,ofobservationgroupimprovedsignificanttha
8、nthecontrolgroup,thediffereneewasstatisticallysignificant(P<0.05orP<0.01)・ConclusionMinimallyinvasivepercutaneousnephrolithotomyinthetreatmentofkidneystoneswith1esstr
