【摘要】：目的：比較與評價經(jīng)皮腎鏡取石術(shù)與開放手術(shù)在治療腎結(jié)石中的臨床應(yīng)用。 方法：回顧性分析50例接受經(jīng)皮腎鏡取石術(shù)和36例開放性手術(shù)治療腎結(jié)石患者的臨床資料，，經(jīng)泌尿系X線平片（KUB）+靜脈腎盂造影（IVP）、超聲、CT檢查證實為腎結(jié)石的患者，滿足入組和排除標(biāo)準(zhǔn)。術(shù)前兩組患者在年齡、結(jié)石大小、數(shù)量、分布和腎積水情況無統(tǒng)計學(xué)差異。術(shù)后比較兩組病例的平均手術(shù)時間、平均手術(shù)出血量、術(shù)后住院時間、術(shù)后并發(fā)癥、結(jié)石清除率等情況的資料進行歸納對比分析。 結(jié)果：經(jīng)皮腎鏡組與開放手術(shù)組在手術(shù)時間、手術(shù)出血量、術(shù)后住院時間的比較結(jié)果均有統(tǒng)計學(xué)意義（P0.05），以a＝0.05為檢驗水準(zhǔn)可認(rèn)為經(jīng)皮腎鏡組的手術(shù)時間、手術(shù)出血量、術(shù)后住院時間少于開放手術(shù)組。經(jīng)皮腎鏡與開放手術(shù)組在一期碎石成功情況、術(shù)后并發(fā)癥、術(shù)后3個月腎積水好轉(zhuǎn)情況比較無統(tǒng)計學(xué)意義。（P＞0.05） 結(jié)論：經(jīng)皮腎鏡碎石取石術(shù)治療腎結(jié)石與開放手術(shù)相比具有手術(shù)通道建立便捷、定位準(zhǔn)確、碎石、清石一期完成的特點，且具有手術(shù)時間短、術(shù)后住院時間短、術(shù)中出血少、恢復(fù)快、可反復(fù)進行的優(yōu)勢，可作為外科治療腎結(jié)石的首選方法。
[Abstract]:Objective: to compare and evaluate the clinical application of percutaneous nephrolithotomy and open surgery in the treatment of renal calculi. Methods: the clinical data of 50 patients with renal calculi treated by percutaneous nephrolithotomy and 36 patients with open renal calculi were retrospectively analyzed. The patients were proved to be renal calculi by plain urography (KUB) intravenous pyelography (IVP), ultrasound and CT examination. Meet entry and exclusion criteria. There was no significant difference in age, stone size, quantity, distribution and hydronephrosis between the two groups. The average operation time, mean blood loss, postoperative hospitalization time, postoperative complications and stone clearance rate were compared between the two groups. Results: there were significant differences in the operation time, the amount of blood loss and the postoperative hospitalization time between the percutaneous nephroscope group and the open operation group (P0.05). The time of operation and the amount of operative bleeding in the percutaneous nephroscope group were considered to be the same as those in the percutaneous nephroscope group (P0.05). The postoperative hospital stay was less than that in the open operation group. The success of primary lithotripsy and postoperative complications in the group of percutaneous nephroscopy and open surgery, Conclusion: compared with open operation, percutaneous nephrolithotripsy has the advantages of convenient operation, accurate location and lithotripsy. It has the advantages of short operation time, short hospital stay, less bleeding during operation, quick recovery and repeated operation. It can be used as the first choice for surgical treatment of renal calculi.
【學(xué)位授予單位】：福建醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R699.2

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