摘要
目的 探讨微创经皮肾镜取石术治疗开放手术后复发肾结石的疗效.方法 回顾性分析56例开放手术后复发肾结石患者资料,按照就诊时间分为对照组和观察组,其中观察组采取微创经皮肾镜取石术,对照组采取开放性手术治疗,比较两组结石清除率、手术时间以及住院时间.结果 观察组结石清除率为92.86％,高于对照组的64.29％（x2=11.37,P＜0.05）.对照组平均手术时间（131.8±8.9）min,多于观察组的（92.5±5.4）min;平均住院时间（19.7±3.2）d,多于观察组的（10.4±2.6）d,差异均有统计学意义（t=16.38、17.25,均P＜0.05）.结论 微创经皮肾镜取石术应用于开放手术后复发肾结石治疗可明显提高结石清除率,缩短手术时间及住院天数,值得临床推广.
Objective To explore the curative effect of minimally invasive percutaneous nephrolithotomy in treatment of recurrence of kidney stones after open operation.Methods 56 patients with postoperative recurrence of renalcalculi were retrospectively reviewed.They were randomly divided into the control group and the observation group.The observation group was treated by minimally invasive percutaneous nephrolithotomy,while the control group received the open operation.The stone clearance rate,operation time and hospitalization time of the two groups were compared.Results The stone clearance rate in the observation group was 92.86%,which was significantly higher than 64.29% of the control group （x2 =11.37,P 〈 0.05） ; The average operation time in the control group was （131.8 ± 8.9）min,which was more than （92.5 ± 5.4）min of the observation group ;The average hospital stay in the control group was （19.7 ± 3.2） days,which was more than （10.4 ± 2.6）days of the observation group,the differences were statistically significant （t =16.38,17.25,all P 〈0.05）.Conclusion Minimally invasive percutaneous nephrolithotomy can improve the stone clearance rate in treatment of recurrent renal calculi after open operation,which can shorten the operation time and hospital stay,it is worth the clinical promotion.
出处
《中国基层医药》
CAS
2015年第4期574-576,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
肾造口术
经皮
手术
肾结石
Nephrolithotomy, Percutaneous
Operation
Kidney stones
