摘要
目的探究在对肾结石患者进行治疗时,应用微创经皮肾镜取石术和开放性手术的效果,分析临床可用性。方法选择时段2017年4月—2018年5月作为本次研究的试验时段,对符合本次课题研究要求的60例患者选为研究对象并开展研究,均分入对照组与试验组当中,单组样本量例数为30。试验组患者实施经皮肾镜取石术进行治疗,对照组患者实施传统开放手术进行治疗。在试验完成后,对比两组患者的一次性取石成功率、术后并发症发生率、术间指标,对比组间差异。结果(1)对照组患者的泌尿感染、结石残留、渗出血例数分别为2例、1例、2例,总并发症例数为5例,并发症发生概率为16.67%,试验组患者的泌尿感染、结石残留、渗出血例数分别为0例、0例、0例,总并发症例数为0例,并发症发生概率为0.00%,两组之间的χ2=5.4545,P=0.0195。(2)对照组患者的一次取石成功率为76.67%,试验组患者的一次取石成功率为96.67%,两组之间χ2=5.1923,P=0.0226。(3)对照组患者的手术时间、术中出血量、术后恢复时间分别为(56.6±3.5)min,(124.6±23.5)mL,(6.2±1.3)d,试验组患者的手术时间、术中出血量、术后恢复时间分别为(41.5±6.2)min,(94.2±19.4)mL,(4.6±0.9)d,两组患者之间的差异明显,t=11.6165、5.4640、5.5425,P=0.0000、0.0000、0.0000。结论经皮肾镜取石术对肾结石进行治疗时,其效果相较于传统的开放手术来说更为良好,值得推广使用。
Objective To explore the effect of minimally invasive percutaneous nephrolithotomy and open surgery in the treatment of renal calculi,and to analyze the clinical usability.Methods April 2017 to May 2018 was slected as the experimental period of this study,60 patients who met the requirements of the research of this subject were selected as the research objects and were divided into the control group and the experimental group.The sample size was 30.Patients in the experimental group were treated with percutaneous nephrolithotomy,and patients in the control group were treated with traditional open surgery.After the experiment was completed,the success rate of one-time stone retrieval,the incidence of postoperative complications,and inter-operative indicators of the two groups were compared,and the differences between the groups were compared.Results(1)In the control group,there were 2 cases of urinary infection,1 case of residual stones and 2 cases of bleeding.The total number of complications was 5 cases,and the probability of complications was 16.67%.In the experimental group,the number of cases of urinary infection,residual stones and bleeding were 0,0 and 0 respectively.The total number of complications was 0,and the probability of complications was 0.00%.χ2=5.4545,P=0.0195.(2)The success rate of primary stone removal was 76.67%in the control group and 96.67%in the experimental group,χ2=5.1923 and P=0.0226.(3)The operation time,intraoperative blood loss,postoperative recovery time in the control group were(56.6±3.5)min,(124.6±23.5)mL,(6.2±1.3)d respectively,the operation time,intraoperative blood loss,postoperative recovery time in the experimental group were(41.5±6.2)min,(94.2±19.4)mL,(4.6±0.9)d,respectively.There was significant difference between the two groups,t=11.6165,5.4640,5.5425,P=0.0000,0.0000,0.0000.Conclusion Percutaneous nephrolithotomy is more effective than traditional open surgery in the treatment of renal calculi,and it is worth popularizing.
作者
高保杰
GAO Baojie(Department of Urology,Hedong People's Hospital,Linyi Shandong 276034,China)
出处
《中国继续医学教育》
2020年第29期90-93,共4页
China Continuing Medical Education
关键词
经皮肾镜取石术
肾结石
治疗方案
手术选择
开放手术
效果
percutaneous nephrolithotomy
nephrolithiasis
treatment plan
surgical selection
open surgery
effect
