腹腔镜下直视与B超引导经皮肾穿剌取石治疗肾结石的疗效比较(1)
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【摘要】 目的 比较腹腔镜下直视与B超引导经皮肾穿剌取石治疗肾结石的临床效果及并发症。 方法 将61例需行经皮肾镜取石(PCNL)治疗的肾结石患者随机分为观察组31例和对照组30例，观察组采用腹腔镜下直视经皮肾穿刺取石，对照组采用超声引导下经皮肾穿刺取石。 结果 观察组术中出血量明显少于对照组( P <0.05)，但手术时间及住院时间则长于对照组( P <0.05)，观察组一次穿刺成功率和结石手术取净率均高于对照组，但两组比较差异无显著性( P >0.05)。两组术后继发出血、发热等并发症比较也无显著性差异( P >0.05)。 结论 腹腔镜下直视经皮肾穿剌取石治疗肾结石是一种直观、安全、有效的方法，值得临床进一步观察。
【关键词】
肾结石；经皮肾镜取石术；超声定位；腹腔镜
Comparative study on the effects of percutaneous nephrolithotomy guided by laparoscopy and B-ultrasound for the treatment of kidney calculi
DENG Sun-lin, WANG Zhong, LI Rui-bo, PAN Yi-hui, LI Wei, JIN Wan-liang, GUO Jian-ye. Department of Surgery No.3, Zhongtang Hospital of Dongguan City, Dongguan 523220,China
【Abstract】 Objective
To compare the efficacy and complications of percutaneous nephrolithotomy guided by laparoscopy and B-ultrasound for the treatment of kidney calculi. Methods 61 patients with kidney calculi were divided randomly into observation group(n=31) and control group(n=30), receiving treatment of percutaneous nephrolithotomy guided by laparoscopy and B-ultrasound respectively. Results The intraoperative blood loss in observation group were smaller than the control( P <0.05), but the operation time and hospitalization time in observation group were longer than the control(both P <0.05). The successful rate of channels were established and the stone free rate in observation group were higher than the control, but there were no statistical significances between both groups(both P >0.05).There were no statistical significance of post-operation complications between both groups( P >0 ......
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