| 关永晖 乃比江 哈木拉提·吐送 宋光鲁安尼瓦尔·牙生△.孤立肾多发结石患者超声引导微创经皮肾穿刺取石术治疗的效果分析[J].,2017,17(6):1063-1065 |
| 孤立肾多发结石患者超声引导微创经皮肾穿刺取石术治疗的效果分析 |
| Effects of Ultrasound Guided Percutaneous Renal Biopsy in the Treatment ofSolitary Kidney Calculi |
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| DOI： |
| 中文关键词: 孤立肾 多发结石 经皮肾穿刺取石术 微创技术 超声 |
| 英文关键词: Solitary kidney Multiple stones Percutaneous renal puncture and puncture Minimally invasive technique Ultrasonic |
| 基金项目:新疆维吾尔自治区自然科学基金项目（2014211C078） |
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| 中文摘要: |
| 目的：分析孤立肾多发结石患者超声引导微创经皮肾穿刺取石术治疗的效果。方法：64例孤立肾多发结石患者随机均分为
试验组和对照组。其中对照组患者均采用常规开放式取石术治疗，试验组患者则在超声引导下实施微创经皮肾穿刺取石术治疗。
比较两组患者的手术时间和术中出血量以及术后取净率等临床资料。结果：两组患者的手术时间并无明显差异（t=1.942，P＞
0.05），且试验组患者的术后取净率和术后两个月排净率均显著高于对照组患者（t=4.731，P＜0.05；t=4.288，P＜0.05）；对照组患者
的并发症发生率显著高于试验组患者（t=4.333，P＜0.05）；试验组患者的术中出血量显著低于对照组（t=3.762，P＜0.01）。两组患者
术前术后以及术后2 个月的血肌酐水平比较均无明显差异（均P＞0.05），并且两组患者血肌酐水平组间比较亦无明显差异（均
P＞0.05）。结论：超声引导下对孤立肾多发结石患者实施微创经皮肾穿刺取石术治疗具有较高的安全性和临床疗效。 |
| 英文摘要: |
| Objective:To investigate the effects of ultrasound guided minimally invasive percutaneous renal biopsy in the
treatment of solitary kidney calculi.Methods:64 cases of solitary renal stone patients selected from our hospital were randomly divided
into two groups: test group and control group, each of 32 patients. The control group patients were treated with conventional open surgery
for removal of calculus, while the experimental group patients had the minimally invasive percutaneous renal puncture lithotomy
treatment under the guidance of ultrasound. Compare the clinical data between the two groups like operative time, blood loss and stone
clearance rate after operation.Results:Patients in the two groups had no significant difference in operation time (t=1.942, P > 0.05). The
test group had significantly higher postoperative clearance rate and stone-free rate at two months after operation than those the control
group (t=4.731, P < 0.05). t =4.288, P < 0.05). Moreover, the test group had lower incidence of complications (t=4.333, P < 0.05) and less
intraoperative bleeding (t=3.762, P < 0.01) than the control group. The blood creatinine levels showed no significant differences before
and right after operation, as well at two months after operation (P>0.05), and so did between the two groups (all P>0.05).Conclusion:Ultrasound-guided solitary kidney calculi with minimally invasive percutaneous renal lithotomy treatment had high safety and clinical
curative effect, less complications and low amount of bleeding, thus should be widely popularized and applied in clinic. |
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