检验医学与临床Issue(12)：1716-1717,1719,3.DOI:10.3969/j.issn.1672-9455.2015.12.022
经皮肾镜气压弹道联合超声碎石术治疗肾结石的疗效研究
Clinical analysis of treatment to patients with kidney stones by using percutaneous nephrolithotomy (PCNL) combined with ultrasonic lithotripsy (USL)
李青龙1
作者信息
- 1. 四川省简阳市人民医院泌尿外科 641400
- 折叠
摘要
Abstract
Objective To explore the clinical curative effects and safety of treatment for the patients with kid‐ney stones by using ultrasonic lithotripsy (USL) combined with percutaneous nephrolithotomy (PCNL) .Methods The clinical data of 196 cases patients with kidney in our hospital from May 2011 to October 2011 stones were retro‐spectively analyzed .The 196 patients were divided into two groups (98 cases in each group) according to the treat‐ment methods :the observation group having percutaneous nephrolithotomy (PCNL) treatment and the control group given ultrasonic lithotripsy (USL) treatment ;Operation situation ,the phase I and phase Ⅱ stone clearance rates and postoperative complications of the two groups were recorded and compared;Also the SF‐36 scale comparative evalua‐tion were used to study the safety of two groups′surgery .Results Two groups of patients all had successfully com‐pleted surgery ,and no serious complications happened during surgery ;The operation time ,intraoperative blood loss and postoperative hospital stay of the observation group ,were all less than those of the control group (P<0 .05);Af‐ter treatment ,the observation group′s phaseⅠ stone clearance rate was 79 .6% which was obviously better than the control group′s 54 .1% (χ2 =14 .386 ,P<0 .05) ,also the observation group′s phase Ⅱ stone clearance rate of 95 .0%was significantly higher than the control group′s 66 .7% (χ2 =5 .990 ,P<0 .05);There was only one case (1 .0% ) of postoperative complications happened in the observation group while the control group had 7 cases (7 .1% ) postoper‐ative complications (χ2 =4 .671 ,P<0 .05);Preoperative SF‐36 scale scores of the two groups patients had no differ‐ence (P>0 .05) while the control group′s postoperative SF‐36 scores were all lower than those of the observation group ,which had significant differences (P values all < 0 .05) .Conclusion Using PCNL combined with USL to treat kidney stones has more definite curative effects and safety ,less complications ,which is also more convenient for operation and worthy of clinical promotion .关键词
肾结石/经皮肾镜气压弹道碎石术/超声碎石术Key words
kidney stones/percutaneous nephrolithotomy (PCNL)/ultrasonic lithotripsy (USL)/clini-cal curative effects引用本文复制引用
李青龙..经皮肾镜气压弹道联合超声碎石术治疗肾结石的疗效研究[J].检验医学与临床,2015,(12):1716-1717,1719,3.
