摘要
目的比较标准通道经皮肾镜取石术（PNL）与开放手术治疗复杂性肾结石的效果,探讨治疗复杂性肾结石的最佳方法。方法分析PNL治疗79例复杂性肾结石（PNL组）与开放手术治疗42例复杂性肾结石（开放手术组）的临床资料,评价其优缺点。结果 PNL组平均手术时间、平均出血量、平均住院时间、术后平均进流质时间均少于开放手术组（t′=5.12,t=2.14~5.13,P〈0.05）;Ⅰ期结石清除率及术后出血、感染等并发症的发生率两组差异无统计学意义（P〉0.05）;PNL组平均住院费用高于开放手术组（t=7.32,P〈0.05）。结论 PNL是治疗复杂性肾结石的理想方法,值得临床推广应用。
Objective To compare the standard percutaneous nephrolithotomy（PNL） and open surgery for complicated renal calculus and explore the best way to treat this condition.Methods Clinical data of standard PNL treatment in 79 cases and open surgery in 42 for complicated kidney stones were analyzed,the merits and defects assessed.Results The mean operative time was shorten,blood loss was little,hospital stay was shorten and postoperative fluid-taking time was earlier in patients underwent PNL than those underwent open surgeries（t′=5.12,t=2.14-5.13,P0.05）.The primary stone clearance rate,postoperative bleeding and infection were no significant difference between the two procedures（P0.05）.The average cost of hospitalization was higher in PNL（t=7.32,P0.05）.Conclusion PNL is an ideal method worth recommending to be used for the treatment of complicated renal stones.
出处
《青岛大学医学院学报》
CAS
2011年第3期245-247,250,共4页
Acta Academiae Medicinae Qingdao Universitatis
关键词
肾造口术
经皮
开放手术
肾结石
治疗结果
nephrostomy
percutaneous
open surgery
kidney stone
treatment outcome
