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作 者:王飞[1] 李锋[1] 张海鹏 WANG Fei;LI Feng;ZHANG Haipeng(Department of Urology,the Affiliated Hospital of Medical College of Jiaying University,Meizhou 514000,China)
机构地区:[1]嘉应学院医学院附属医院泌尿外科,广东梅州514000
出 处:《临床医学工程》2019年第2期135-136,共2页Clinical Medicine & Engineering
基 金:梅州市科技计划项目(项目编号:2016B059)
摘 要:目的探讨多通道经皮肾镜取石术治疗复杂性肾结石的效果和安全性。方法 82例复杂性肾结石患者根据手术方式分为单通道组(单通道经皮肾镜取石术治疗, 41例)和多通道组(多通道经皮肾镜取石术治疗, 41例),比较两组的临床疗效。结果多通道组的治疗总有效率显著高于单通道组(97.56%vs. 82.93%, P <0.05)。单通道组和多通道组患者的手术时间、术中出血量、住院时间,以及术后感染、出血、肾功能衰竭发生率比较,差异均无统计学意义(P>0.05)。结论多通道经皮肾镜取石术治疗复杂性肾结石患者具有显著的效果,且不明显增加患者的手术创伤。Objective To explore the effect and safety of multi-channel percutaneous nephrolithotomy (PCNL) for the treatment of complicated renal calculi. Methods 82 cases of patients with complicated renal calculi were divided into the single channel group (single channel PCNL, 41 cases) and multi-channel group (multi-channel PCNL, 41 cases) according to the surgical methods. The clinical curative effects of the two groups were compared. Results The total effective rate of treatment of the multi-channel group was significantly higher than that of the single channel group (97.56% vs. 82.93%, P <0.05). No statistical difference was found between the two groups in the operation time, intraoperative blood loss, hospitalization time, and incidences of postoperative infection, bleeding and renal failure (P >0.05). Conclusions Multi-channel percutaneous nephrolithotomy for the treatment of patients with complicated renal calculi has significant effect, and does not obviously increase patients' surgical trauma.
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