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后腹腔鏡腎竇內(nèi)腎盂切開取石術(shù)治療腎盂單發(fā)結(jié)石的臨床療效分析

發(fā)布時間:2018-11-07 13:36
【摘要】:【目的】比較后腹腔鏡腎竇內(nèi)腎盂切開取石術(shù)(RLIP)及經(jīng)皮腎鏡碎石取石術(shù)(PCNL)治療腎盂單發(fā)結(jié)石的有效性及安全性!痉椒ā炕仡櫸以鹤2012年03月至2016年09月收治的101例腎盂單發(fā)結(jié)石患者,按治療方式分為RLIP組(46例)及PCNL組(55例),并比較兩組患者在臨床療效上的差異!窘Y(jié)果】兩組患者在年齡、性別、結(jié)石患側(cè)及結(jié)石大小方面無統(tǒng)計學差異。RLIP組手術(shù)時間雖然長于PCNL組,但結(jié)石清除率明顯高于PCNL組(P0.05)。RLIP組在術(shù)后泌尿系感染并發(fā)癥方面優(yōu)于PCNL組(P0.05),但兩組在術(shù)后出院時間、術(shù)后發(fā)熱(38.5℃)、血紅蛋白及腎小球濾過率下降值方面,均無顯著性差異!窘Y(jié)論】RLIP相比PCNL具有更好的有效性,且安全性方面也稍優(yōu)于PCNL,在臨床上具有一定的推廣價值。
[Abstract]:[objective] to compare the efficacy and safety of retroperitoneal laparoscopic endopelvic lithotomy (RLIP) and percutaneous nephrolithotomy (PCNL) in the treatment of single pyelolithiasis. [methods] from March 2012 to September 2016, we reviewed our hospital. 101 patients with single calculi of renal pelvis, The patients were divided into RLIP group (46 cases) and PCNL group (55 cases) according to the treatment method. Although the operation time of RLIP group was longer than that of PCNL group, the stone clearance rate of RLIP group was significantly higher than that of PCNL group (P0.05). RLIP group was better than PCNL group in postoperative urinary tract infection complications (P0.05). However, there was no significant difference in discharge time, postoperative fever (38.5 鈩,

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