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目的比较经皮肾镜碎石取石术与开放性手术进行复杂性肾结石处理的效果。方法选取医院收治的复杂性肾结石患者72例,随机分为观察组和对照组各36例。观察组采用经皮肾镜碎石取石术进行治疗,对照组采用开放性手术进行治疗,对比观察2组患者的手术治疗效果。结果观察组患者的平均手术时间、术中平均出血量、平均住院治疗时间均优于对照组,差异有统计学意义(P<0.05)。此外,观察组患者的肾结石清除率为88.9%,术后并发症发生率为5.5%,对照组患者的肾结石清除率为69.4%,术后并发症发生率为27.8%,2组比较差异有统计学意义(P<0.05)。结论经皮肾镜碎石取石术进行复杂性肾结石治疗具有较好的效果,值得临床推广和应用。
Objective To compare the effect of percutaneous nephrolithotomy and open surgery on the treatment of complex renal calculus. Methods Seventy-two patients with complex nephrolithiasis admitted to hospital were randomly divided into observation group (36 cases) and control group (36 cases). The observation group was treated by percutaneous nephrolithotomy lithotripsy, the control group was treated by open surgery, and the surgical treatment effect was compared between the two groups. Results The average operation time, mean intraoperative blood loss and average hospitalization time in the observation group were all better than those in the control group (P <0.05). In addition, the observation group of patients with renal stone clearance rate was 88.9%, the incidence of postoperative complications was 5.5%, the control group of patients with renal stone clearance rate was 69.4%, the incidence of postoperative complications was 27.8%, the difference between the two groups There was statistical significance (P <0.05). Conclusion Percutaneous nephrolithotomy lithotripsy for complex renal calculus has a good effect, it is worthy of clinical promotion and application.