论文部分内容阅读
目的:探讨微创经皮肾穿刺碎石术(MPCNL)用于治疗尿路结石的临床效果。方法:选取120例单侧上尿路结石病患者,随机分为两组,每组60人。一组应用微创经皮肾穿刺碎石术(MPCNL)进行一期单通道上尿路取石,另一组采用开放手术治疗。比较并分析两组患者的临床疗效。结果:应用MPCNL治疗的60名患者中,结石清除的有55名,清除率为91.17%,手术时间平均为77分钟,住院时间平均为5.3天。术中平均出血100 mL,术后发生大出血者一例,经输血后好转,术后发热者38例,发热比例为63.3%,尿液转清时间平均为2.5天。应用开放式手术的60名患者中,结石清除的有39例,清除率为65.0%,平均手术之间为112分钟,住院时间平均为18.1天,术中平均出血380 mL,术后发生大出血者9例,经输血后好转,术后发热者43例,发热比例为71.2%,尿液转清时间平均为8.6天。结论:MPCNL方法治疗上尿路结石的效果明显比开放式手术好,具有清除率高、手术时间短、术后并发症少、术后感染少以及患者恢复快的优点。
Objective: To investigate the clinical effect of minimally invasive percutaneous nephrolithotomy (MPCNL) in the treatment of urinary calculi. Methods: One hundred and twenty patients with unilateral upper urinary tract calculi were selected and randomly divided into two groups of 60 patients. One group was treated with minimally invasive percutaneous nephrolithotomy (MPCNL) for single stage upper urinary tract lithotomy, and the other group was treated with open surgery. The clinical efficacy of the two groups was compared and analyzed. RESULTS: Of the 60 patients treated with MPCNL, 55 were cleared of stones, with a clearance rate of 91.17%, an average of 77 minutes of operation, and an average of 5.3 days of hospital stay. The average intraoperative bleeding was 100 mL. One case of postoperative hemorrhage occurred. After transfusion, 38 cases had fever, the rate of fever was 63.3% and the average time of urine clearing was 2.5 days. Of the 60 patients who underwent open surgery, 39 were cleared of stones, with a clearance rate of 65.0%, an average of 112 minutes between operations, an average of 18.1 days in hospital stay, and an average of 380 mL of intraoperative bleeding. 9 cases, after transfusion improved, postoperative fever in 43 cases, fever was 71.2%, urinary clearance average of 8.6 days. CONCLUSION: MPCNL is superior to open surgery in treating upper urinary calculi. It has the advantages of high clearance rate, short operative time, less postoperative complications, less postoperative infection and faster recovery of patients.