赵瑞振 高伟兴 张炜 张黎英 丁淑云.微通道经皮肾镜取石术和标准通道经皮肾镜取石术的临床对比研究[J].,2015,15(21):4143-4145 |
微通道经皮肾镜取石术和标准通道经皮肾镜取石术的临床对比研究 |
Clinical Comparative Study of Microchannel Percutaneous Nephrolithotomyand Standard Tract Percutaneous Nephrolithotomy |
|
DOI: |
中文关键词: 经皮肾镜取石术 肾结石 微通道 效果 |
英文关键词: Percutaneous nephrolithotomy Kidney stone Microchannel Effect |
基金项目: |
|
摘要点击次数: 647 |
全文下载次数: 0 |
中文摘要: |
目的:比较微通道经皮肾镜取石术和标准通道经皮肾镜取石术的临床效果。方法:选取2010 年1 月至2014 年5 月我院收
治的118 例肾结石患者,根据治疗方案分为微通道经皮肾镜取石术(MPCNL)(M 组,62 例)和标准通道经皮肾镜取石术(SPCNL)
(S组,56 例),比较两组术中术后相关指标和并发症情况。结果:与S 组相比,M组的手术时间更长,冲水量更多,但手术中出血量
更少,差异有统计学意义(P<0.05);M 组术后血肌酐(Scr)、住院时间、卧床时间以及术后费用均小于或短于S 组,差异有统计学意
义(P<0.05);两组结石清除率没有显著差异(P>0.05);两组术后发热、出血、介入栓塞、结合穿孔、脓毒血症等并发症比较差异无统
计学意义(P>0.05)。结论:行MPCNL患者相比行SPCNL患者术后效果更好,临床上可根据结石的大小选择手术类型。 |
英文摘要: |
Objective:To compare the clinical effect of microchannel percutaneous nephrolithotomy(MPCNL)with standard tract
percutaneous nephrolithotomy(SPCNL).Methods:A total of 118 patients with kidney stone, who were treated in Caofeidian District
Hospital from January 2010 to May 2014, were divided into MPCNL group (Group M , n=62 ) and SPCNL group (Group S, n=56 ) according
to the treatment plan. The intraoperative and postoperative related indexes and complications were compared between the two
groups.Results:Compared with Group S, operation time of Group M was longer, flushing water was more, but amount of bleeding during
operation was less,with statistical significance (P<0.05); The postoperative Scr, hospitalization time, bed time, postoperative costs of
GroupMwere less or shorter than these of Group S, with statistical significance (P<0.05); There was no significant difference in the stone
clearance rate between the two groups (P>0.05); There was no significant difference in complications of two groups such as fever, bleeding,
interventional embolization, combined with perforation, sepsis between the two groups(P>0.05).Conclusion:For kidney stone patients,
MPCNL is superior to SPCN. So best operation types can be chosen according to the sizes of the stones. |
查看全文
查看/发表评论 下载PDF阅读器 |
关闭 |
|
|
|