摘要
目的探讨复杂性巨大肾结石的治疗方法及开放手术在巨大肾结石治疗中的价值。方法选取我院2016年1月—2017年1月收治的复杂性巨大肾结石患者128例作为研究对象。按照手术方式不同分为两组,其中,经皮肾镜取石术(PCNL)(A组)70例;开放手术联合术中肾镜超声碎石或气压弹道碎石组(B组)58例;比较两种手术方式的疗效。结果两组患者的年龄、性别、结石大小、结石位置对比,差异无统计学意义(P>0.05);B组患者的平均手术时间、术中出血量、结石清除率及术后并发症发生率均优于A组,差异均具有统计学意义(P<0.05)。结论对于复杂性巨大肾结石尤其是铸型肾结石,经皮肾镜治疗相对困难,应用开放手术联合肾镜超声碎石或气压弹道碎石治疗,手术时间短、结石清除率高、并发症少。
Objective To investigate the treatment of complicated and huge renal calculi and the value of surgery in the treatment of huge renal calculi. Methods 128 patients with complicated renal calculi in our hospital from January 2016 to January 2017 were selected as the research subjects. According to different surgical methods, they were divided into two groups. 70 cases （group A） were treated with percutaneous nephrolithotomy. 58 cases （group B） were treated with open surgery combined with nephroscope ultrasound lithotripsy or air pressure ballistic lithotripsy, the curative effect of two surgical methods was compared. Results There was no significant difference in age, gender, stone size and stone position between the two groups （P 〉 0.05）. The average operative time, intraoperative blood loss, stone clearance rate and postoperative complication rate in group B were better than those in group A, with statistically significant difference （P 〈 0.05）. Conclusion The huge complexity especially mould kidney stones, kidney stones percutaneous nephroscope is a relatively difficult treatment, application of combined renal ultrasound lithotripsy or open surgery pneumatic ballistic lithotripsy treatment, can shorter operation time, and has high stone clearance rate and fewer complications.
出处
《中国继续医学教育》
2017年第29期83-85,共3页
China Continuing Medical Education
