【摘要】：目的:觀察細(xì)針一步穿刺法在經(jīng)皮腎鏡治療鹿角型腎結(jié)石治療中的臨床應(yīng)用效果。方法:選取鹿角型腎結(jié)石患者78例,采用抽簽法將患者分為對(duì)照組和研究組各39例,對(duì)照組行二步法經(jīng)皮穿刺腎鏡取石治療,研究組行細(xì)針一步穿刺法經(jīng)皮腎鏡取石治療,比較兩組的臨床治療效果。結(jié)果:研究組的手術(shù)操作時(shí)間明顯短于對(duì)照組,術(shù)中出血量明顯少于對(duì)照組;研究組并發(fā)癥發(fā)生率為2.56%,明顯低于對(duì)照組的17.95%;研究組治療有效率為94.87%,明顯高于對(duì)照組的74.36%;研究組結(jié)石清除率為89.74%,明顯高于對(duì)照組的69.23%,兩組比較均有統(tǒng)計(jì)學(xué)差異(P0.05)。結(jié)論:使用細(xì)針一步穿刺經(jīng)皮腎鏡取石治療鹿角型腎結(jié)石患者的臨床效果優(yōu)于二步法經(jīng)皮穿刺腎鏡取石治療效果。
[Abstract]:Objective: to observe the clinical effect of one-step fine needle puncture in the treatment of staghorn nephrolithiasis by percutaneous nephroscopy. Methods: 78 patients with staghorn nephrolithiasis were divided into control group (n = 39) and study group (n = 39) by drawing lots. The control group was treated with percutaneous nephrolithotomy and the control group was treated with percutaneous nephrolithotomy. To compare the effect of clinical treatment between the two groups. Results: the operative time of the study group was significantly shorter than that of the control group, the amount of intraoperative bleeding was significantly less than that of the control group, and the incidence of complications in the study group was 2.56, which was significantly lower than that in the control group (17.95%). The effective rate of treatment in the study group was 94.87, which was significantly higher than that in the control group (74.36); the stone clearance rate in the study group was 89.74, which was significantly higher than that in the control group (69.23). There was statistical difference between the two groups (P0.05). Conclusion: the clinical effect of percutaneous nephrolithotomy with one step fine needle puncture is better than that of two step percutaneous nephrolithotomy in the treatment of staghorn nephrolithiasis.
【作者單位】： 營(yíng)口市中心醫(yī)院
【分類號(hào)】：R699.2

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