微创经皮肾镜取石术和肾切开取石术治疗疗效比较
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【摘要】目的：对微创经皮肾镜取石术和肾切开取石术治疗肾结石的临床疗效进行分析比较。方法：随机抽取2010年1月～2014年4月本院接诊的31例肾结石患者作为研究对象，按手术方式将其随机分为观察组(n=17例)和对照组(n=14例)，对观察组患者行微创经皮肾镜取石术，对照组行肾切开取石术，观察并比较两组患者手术情况及临床疗效。结果：观察组患者术中平均出血量明显少于对照组，其手术时间、下床活动时间、肾造瘘留管时间及住院时间均明显短于对照组，两组患者在结石清除率和复发率方面无显著性差异(P>0.05)，观察组患者并发症发生率25.0%明显低于对照组57.1%，组间比较差异具有统计学意义(P<0.05)。结论：微创经皮肾镜取石术治疗肾结石可有效降低患者并发症的发生率，改善手术情况，缩短住院时间，值得临床推广应用。
【关键词】肾结石；肾切开取石术；微创经皮肾镜取石术
The comparison of curative effect between mini-percutaneous and traditional nephrolithotomy.
Name: Gan Lizhi
Objective: To compare and analyze the curative effect between mini-percutaneous and traditional nephrolithotomy.
Method: Randomly selected 31 patients with kidney stones of our hospital from January 2010 to April 2014, and these patients were divided into observation group (17 cases) and control (14 cases) by surgical options. Observed and compared the surgery situation and curative effect between observation group with mini-percutaneous nephrolithotomy and control group with traditional nephrolithotomy. Result: The bleeding amount in observation group was significantly fewer than that in control group, and the surgery time, postoperative activity time, retain time and hospital stays in observation group was shorter than that in control group ......
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