手术治疗泌尿系结石合并急性肾功能衰竭应用研究.docVIP

手术治疗泌尿系结石合并急性肾功能衰竭应用研究 　　摘要：目的 就泌尿系结石合并急性肾功能衰竭的手术进行相关的分析。方法 以2016年1月～12月本院收治的58例泌尿系结石合并急性肾功能衰竭患者为此次研究对象，随机分成观察组和对照组，观察组30例患者??施微创手术治疗，对照组28例患者实施传统手术治疗，比较两种手术治疗方案的效果。结果 观察组患者术后出现了2例并发症，并发症发生率为6.70%；对照组出现10例并发症，并发症发生率为35.70%，观察组采用的手术治疗方案的效果要优于对照组，有统计学意义（P0.05）。结论 泌尿系结石合并急性肾功能衰竭疾病应用微创治疗效果显著，微创治疗疗效好、安全，患者肾功能恢复时间快，为患者的健康提供了保障，值得临床应用。 　　关键词：泌尿系结石；急性肾功能衰竭；手术 　　中图分类号：R691.4 文献标识码：A 文章编号：1006-1959（2017）23-0053-02 　　Application of Surgical Treatment of Urinary Calculus Combined with Acute Renal Failure 　　XIANG Yong-dong 　　（Yidu First Peoples Hospital，Yidu 443300，Hubei，China） 　　Abstract：Objective To analyze the correlation between urinary calculi and acute renal failure.Methods 58 patients with urinary calculi with acute renal failure were enrolled in our hospital from January to December in 2016.The patients were randomly divided into observation group and control group.30 patients in the observation group were treated with minimally invasive surgery.In the control group，28 patients were treated with traditional surgery，and the effect of the two surgical regimens was compared.Results In the observation group，there were 2 cases of postoperative complications， the complication rate was 6.70%；the control group of 10 cases of complications，the complication rate was 35.70%，treatment of the observation group is better than the control group，was statistically significant（P0.05）.Conclusion Minimally invasive treatment of urinary calculi combined with acute renal failure，the effect is significant，minimally invasive treatment effect is good，safe，patient renal function recovery time is fast，provide a guarantee for the health of patients，worthy of clinical application. 　　Key words：Urinary calculi；Acute renal failure；Operation 　　泌尿系结石是泌尿系的常见病，结石可见于肾、输尿管、膀胱以及尿道的任何部位，而急性肾功能衰竭是泌尿系结石常见并发症。所谓急性肾功能衰竭（ARF）是指肾小球滤过率突然或持续下降，引起氮质废物体内储留，水、电解质和酸碱平衡紊乱，所导致各系统并发症的临床综合征。随着病情的发展，泌尿系结石病情会越来越严重，肾脏功能会下降，如果治疗不及时，就会威胁到患者的生命[1-2]。针对泌尿系结石疾病，当前有效的治疗方法就是手术治疗，而随着医疗技术水平的提高，微创手术治疗在泌尿系结石合并急性肾功能衰竭疾病中得到了广泛的应用。本