微创经皮肾镜取石术治疗肾结石临床疗效及安全性分析.docVIP

微创经皮肾镜取石术治疗肾结石临床疗效及安全性分析 　　[摘要] 目的 对微创经皮肾镜取石术在泌尿系统结石疾病治疗中的临床应用效果及其安全性进行观察与分析。方法 随机选取该院2013年11月―2014年11月所收治的90例泌尿系统结石患者作为实验的对象，按随机数字表法将其分成两组，即实验组与对照组，每组各有45例患者，其中对照组患者予以开腹手术进行治疗，实验组患者予以微创经皮肾镜取石术进行治疗，且对其治疗的效果与并发症发生情况加以观察与比较。 结果 实验组患者的手术时间、术中出血量、住院时间以及术后第一次如厕时间等指标均优于对照组患者，差异有统计学意义（P0.05）；经手术治疗之后，实验组中有6例患者发生并发症，其发生率为13.3%（6/45），而对照组中有16例患者发生并发症，其发生率为35.6%（16/45），组间并发生发生率相比较，差异有统计学意义（P0.05）。结论 在临床上对肾结石患者予以微创经皮肾镜取石术进行治疗，疗效确切，并发症发生率低，值得大力推广与运用。 　　[关键词] 肾结石；微创经皮肾镜取石术；安全性 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2015）08（b）-0072-02 　　[Abstract] Objective To observe and analyze the clinical efficacy and safety of minimally invasive percutaneous nephrolithotomy in the treatment of calculus in urinary system. Methods 90 patients with urinary calculi treated in our hospital during November 2013 and November 2014 were selected as the experimental object and randomly divided into two groups， namely the experimental group and the control group， 45 patients in each group. The patients in control group were given open operation， while those in the experimental group underwent minimally invasive percutaneous nephrolithotomy， and their therapeutics effect and complications were observed and compared. Results The operation time， intraoperative blood loss， hospitalization time and first defecation time after operation and other indicators in the experimental group were superior to those in the control group， and the differences were statistically significant， P0.05. After treatment， of all the 45 patients， 6 cases （13.3%） were found with complications in the experimental group and 16 cases （35.6%） in the control group， and the difference was statistically significant， P0.05. Conclusion Minimally invasive percutaneous nephrolithotomy is worthy of promotion and application in the clinical treatment of patients with renal calculi because of its 　　[Key words] Renal calculi； Minimally invasive percutaneous nephrolithotomy； Safety 　　在临床上，肾结石是一种较为多见的泌尿外科疾病，一般情况下，尿结石能够出现在泌尿系统中的各个部位，例如尿道、输尿管