微创经皮肾镜取石术治疗肾结石的临床研究.pdf

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1、中国现代医生2014年6月第52卷第16期·临床研究·微创经皮肾镜取石术治疗肾结石的临床研究殷晓蒙周东言沈进杨波沈阳市第五人民医院泌尿外科，辽宁沈阳110023【摘要】目的比较微创经皮肾镜取石术与传统开放性手术治疗肾结石的疗效。方法选择2010年1月~2014年1月在我院行微创经皮肾镜取石术治疗的肾结石患者50例，设立为观察组，另外选择同期行传统切开手术治疗的肾结石患者50例，设立为对照组，比较两组：手术时间、术中出血量、术后住院时间、结石取净率。两组患者治疗期间并发症发生情况。包括发热、感染、肾通道裂伤、出血、

2、肾造瘘口漏尿。结果观察组45例患者结石取净，结石取净率90％，明显高于对照组的结石取净率(70％)，差异有统计学意义(P<0．05)。观察组患者的手术时间、住院时间均明显短于对照组，观察组患者术中出血量明显少于对照组，两组比较，差异有统计学意义(P

3、】肾结石；经皮肾镜取石术；微创；并发症【中图分类号】R692．4【文献标识码】B【文章编号】1673-9701(2014)16-0035-03ClinicalstudiesofminimallyinvasivepercutaneousnephrolithotomyintreatmentofkidneystonesY／NXiaomengZHOUDongyanSHENJinYANGBoDepartmentofUrologicalSurgery．ShenyangtheFifthPeople’SHospital，Shen

4、yang110023，China[Abstract】0bjectiveTocomparetheefficacyofminimallyinvasivepercutaneousnephrolithotomysurgeryandcorn—parewithtraditionalopensurgeryforkidneystones．MethodsPatientswithkidneystonesfromJanuary2010toJan-uary2014inourhospital，minimallyinvasivepercut

5、aneousnephrolithotomyinthetreatmentof50cases(observationgroup)，anotherchoosetraditionalsurgery50cases(controlgroup)，theoperativetime，bloodloss，postoperativehospi—talstay，stonefreerateandoccurrenceofcomplicationsduringthetwogroupsofpatients，includingfever，infe

6、ction，kidneychannellaceration，bleeding，kidneystomaleakwerecompared．ResultsThestonefreerateofobservationgroupwas90％，wassignificantlyhigherthancontrolgroup(70％)(P<0．05)．Thetheoperativetime，lengthofhospitalstayofobservationgroupwassignificantlyshorterthanthecont

7、rolgroup，thebloodlossofobservationgroupwassig-nificantlylessthanthecontrolgroup(P

8、surgerycomparewithtraditionalopensurgeryforkidneystoneshaveadvantageswithshorteroperativetime，lessbloodloss，fewercomplications，lesstrauma，simpleoperation，worthyofpromotionandapplication．【