经皮肾镜取石术治疗复杂性肾结石的临床疗效.docVIP

精品论文 参考文献 经皮肾镜取石术治疗复杂性肾结石的临床疗效 郭洪波 （山东济宁市第一人民医院泌尿外科 272000) 　　【摘要】目的　探究分析应用经皮肾镜取石术对复杂性肾结石患者进行治疗的临床效果。方法 将我院2013年1月-2013年12月接收治疗的67例复杂性肾结石随机分为34例治疗组和33例对照组，对照组患者主要采取传统开放术治疗，治疗组患者给予经皮肾镜取石术治疗。结果 治疗组患者的结石清除率明显高于对照组（plt;0.05）；治疗组患者的术中出血量明显少于对照组（plt;0.05）；治疗组患者的下床活动时间明显短于对照组（plt;0.05）；治疗组患者的并发症发生率明显低于对照组（plt;0.05）。结论 对复杂性肾结石患者采取经皮肾镜取石术治疗，能够加快术后患者恢复，减少术中出血量，提高结石清除率，值得在临床广泛推广。 　　【关键词】复杂性肾结石 经皮肾镜取石术 结石清除率 　　【中图分类号】R692.4 【文献标识码】A 【文章编号】1672-5085（2014）14-0033-02 　　【Abstract】 objective to explore the analysis of application of percutaneous nephrolithotomy clinical effect of treatment of patients with renal stones of complexity. Methods from April 2013 to December 2013 received treatment of complexity of 67 cases of kidney stones in 34 cases were randomly divided into treatment group and 33 cases of control group, control group patients mainly adopts the traditional open surgery treatment, the treatment group patients give percutaneous nephrolithotomy treatment. Results patients calculi clearance rate of treatment group was obviously higher than that of control group (p lt; 0.05); The intraoperative blood loss in patients with significant lower in treatment group than the control group (p lt; 0.05); The treatment group patients bed activity time significantly shorter than the control group (p lt; 0.05); The incidence of complications in patients with treatment group was obviously lower than the control group (p lt; 0.05). Conclusion complexity of kidney stones in patients treated with percutaneous nephrolithotomy, can accelerate the recovery of patients, reduce the intraoperative blood loss, improve the calculi clearance rate, is worth popularizing widely in clinical. 　　目前，临床中治疗肾结石主要采取传统开刀术治疗，但其具有手术创伤大、术中出血量多以及并发症发生率高的特点，且对复杂性肾结石的取石较为困难[1]。近年来，随着我国泌尿外科技术水平的不断提高，经皮肾镜取石术应用范围也越来越广。笔者对我院收治的34例复杂性肾结石患者给予经皮肾镜取石术治疗，取得满意治疗效果，具体报告如下。 　　1 资料与方法 　　1.1 一般资料 　　将我院2013年1月-2013年12月接收治疗的67例复杂性肾结石随机分为34例治疗组和33例对照组，其中，男36例，女31例，年龄19