摘要
目的探讨对肾结石患者分别选择传统开放性手术与经皮肾镜取石术治疗后获得的临床效果。方法选择该院2017年5月—2019年2月收治的113例肾结石患者作为实验对象;随机数表法分组后探究每组手术方式;比照组(56例):选择传统开放性手术方式施治;实验组(57例):选择经皮肾镜取石术方法施治;比较两组肾结石患者的手术结果。结果实验组术中失血量为(109.17±32.79)mL,平均术时为(1.03±0.39)h,平均住院时长为(8.73±1.63)d;比照组术中失血量为(562.55±50.23)mL,平均术时为(2.39±0.62)h,平均住院时长为(15.25±2.75)d;最终发现实验组上述指标同比照组差异有统计学意义(t=56.913 2、13.983 3、 15.363 2,P<0.05);实验组肾结石患者一期碎石成功率(98.25%)高于比照组(80.36%)明显,并发症总发生率(5.26%)低于比照组(23.21%)明显(χ^2=9.523 2、7.489 2,P<0.05)。结论肾结石患者于临床接受经皮肾镜取石术治疗后,可以使得系列指标表现获得确切缓解效果,并且对于患者一期碎石成功率提升以及并发症减少,可获得理想效果,最终对于肾结石患者康复状态提升,奠定基础。
Objective To investigate the clinical effects of traditional open surgery and percutaneous nephrolithotomy in patients with kidney stones. Methods 113 patients with kidney stones admitted to our hospital from May 2017 to February 2019 were selected as experimental subjects. The random number table method was used to investigate each group of surgical methods. The comparison group (56 cases): the traditional open surgery method was selected. The experimental group (57 cases): selection of percutaneous nephrolithotomy for treatment;comparing the surgical results of two groups of patients with kidney stones. Results The blood loss in the experimental group was (109.17±32.79) mL, the average operation time was (1.03±0.39) h, the average length of hospital stay was (8.73±1.63) d;the blood loss during the operation group was (562.55±50.23) mL, the average operation time was (2.39±0.62) h, and the average length of hospital stay was (15.25±2.75) d. Finally, the above indicators of the experimental group were significantly different (t=56.913 2,13.983 3, 15.363 2,P<0.05);the success rate of primary lithotripsy in patients with renal calculi (98.25%) was higher than that in the control group (80.36%), and the total incidence of complications (5.26%) was lower than that in the control group (23.21%)(χ^2=9.523 2, 7.489 2,P<0.05). Conclusion After renal percutaneous nephrolithotomy, patients with renal calculi can achieve a definite relief of the performance of the series of indicators, and the patient's first-stage crushing stone success rate and complications are reduced, the ideal effect can be obtained, and finally laid the foundation for the kidney rehabilitation status of patients with stones.
作者
吕志平
LYU Zhi-ping(Qijing District People's Hospital,Qujing,Yunnan Province,655000 China)
出处
《世界复合医学》
2019年第8期45-47,共3页
World Journal of Complex Medicine
关键词
经皮肾镜取石术
传统开放性手术
肾结石
临床效果
Percutaneous nephrolithotomy
Traditional open surgery
Kidney stones
Clinical effect
