摘要
目的:研究急诊处理梗阻性肾功能衰竭应用微创外科技术的临床效果。方法:选取205例梗阻性急性肾功能衰竭患者采取微创外科技术治疗,包括微创经皮肾镜取石、气压弹道碎石、输尿管镜检、留置双J管等治疗方式,设为观察组,并回顾性分析200例开放手术患者治疗效果,设为对照组,对比两组患者手术时间、术后时血尿素氮和血肌酐变化情况、结石清除率以及安全性。结果:观察组手术时间(47.54±24.16)min、血尿素氮(16.31±10.88)mmol/L、血肌酐(439.48±329.15)μmol/L均显著低于对照组(28.45±10.65)min、(28.45±10.65)mmol/L、(758.15±370.46)μmol/L,差异有统计学意义(P<0.05),微创手术与开放手术的一次结石清除率,差异无统计学意义(P>0.05),但观察组的并发症发生率1.47%显著低于对照组8.00%,差异有统计学意义(P<0.05)。结论:在急诊处理梗阻性急性肾功能衰竭中应用微创外科技术可减少手术时间,使血尿素氮及血肌酐尽快恢复正常,同时疗效显著、安全性高,具有较高的临床推广价值。
Objective To study the clinical effect of emergency treatment of obstructive renal failure application of minimally invasive sur- gical techniques. Method 205 cases of obstructive acute renal failure were treated by minimally invaSive surgical technique, included mini- mally invasive percutaneous nephrolithotomy,pneumatic lithotripsy, ureteroscopy,indwelling double J tube and other treatments ,for the obser- vation group, and retrospectively analyzed open operation effect of 200 cases patients who were selected as control group, compared two groups of patients with operation time,postoperative blood urea nitrogen and creatinine changes, stone clearance rate and safety. Results In the obser- vation group ,operation time was （ 4？. 54± 24. 16 ） min, blood urea nitrogen （ 16. 31 ± 10. 88 ） mmol/L, serum creatinine （ 439.48 ± 329. 15 ） umol/L ,and was significantly lower than that of the Control group （28.45 ± 10. 65 ） rain, （28.45 ± 10. 65 ） mmol/L, （758. 15 ± 370. 46） umoL/L,the difference was statistically significant （P 〈 0. 05 ） , one stone clearance rate of minimally invasive operation and open operation had no significant difference（P 〉 0. 05 ）, but the complication rate of observation group was 1.47% , which was significantly lower than the control group 8%, the difference was statistically significant （P 〈 0. 05 ）. Conclusion In the emergency treatment of obstructive acute renal failure application of minimally invasive surgical technique can reduce the operation time, the blood urea nitrogen and creatinine returned to normal as soon. as possible,at the same time,obvious curative effect,high safety,has high clinical value.
出处
《吉林医学》
CAS
2015年第15期3248-3249,共2页
Jilin Medical Journal
关键词
微创外科技术
梗阻性急性肾功能衰竭
效果
Minimally invasive surgery
Obstructive acute renal failure
Effect
