Clinical efficacy of minimally invasive percutaneous nephrolithotomy in the treatment of urinary stones
微创经皮肾镜取石术治疗泌尿系统结石的临床疗效

摘要

目的 探究分析对泌尿系统结石实施微创经皮肾镜取石术的临床疗效。方法 本次研究开展于泌尿外科，共计选取72例已经被确诊泌尿系统结石的患者作为研究对象。为达成研究目的，对72例患者随机分组，一组为对照组，使用常规开腹手术治疗，另一组为观察组，实施微创经皮肾镜取石术治疗，每组36例，比较不同手术方法下的疗效。结果 首先统计比较了两组的临床指标，包括手术时间、术中出血量、住院时间等，观察组以上临床指标更优（P＜0.05）；其次，观察组的术后结石取净率更高（P＜0.05）；最后，观察组、对照组术后分别出现2例、9例并发症情况，发生率分别为5.56%、25%，观察组并发症发生率显著低于对照组（P＜0.05）。结论 将微创经皮肾镜取石术用于泌尿系统结石治疗中能够达到良好疗效，并可有效防范并发症风险。

Abstract

Objective To investigate and analyse the clinical efficacy of minimally invasive percutaneous nephrolithotomy for urological stones.
Methods: This study was carried out in the Department of Urology, and a total of 72 patients who had been diagnosed with urological stones were selected as research subjects. In order to achieve the purpose of the study, 72 patients were randomly grouped, one group was the control group, using conventional open surgery, and the other group was the observation group, implementing minimally invasive percutaneous nephrolithotripsy, with 36 cases in each group, comparing the therapeutic efficacy under different surgical methods.
Results: firstly, the clinical indicators of the two groups were statistically compared, including operation time, intraoperative bleeding, hospital stay, etc., and the above clinical indicators of the observation group were better (P＜0.05); secondly, the postoperative stone extraction rate of the observation group was higher (P＜0.05); finally, there were 2 cases and 9 cases of postoperative complications in the observation group and the control group, with an incidence rate of 5.56% and 25% respectively, and the complication rate of the observation group was significantly lower than the control group. The complication rate was significantly lower than that of the control group (P < 0.05).
Conclusion  : Minimally invasive percutaneous nephrolithotripsy can achieve good efficacy in the treatment of urinary stones and can effectively prevent the risk of complications.