微创经皮肾镜取石术治疗复杂性泌尿系统结石的效果

目的研究微创经皮肾镜取石术治疗复杂性泌尿系统结石病变的效果。方法选取2018年4月至2020年4月本院收治的复杂性泌尿系统结石患者88例作为研究对象,按照随机数字表法分为治疗组和对照组,每组44例。对照组实施常规开放手术,治疗组实施微创经皮肾镜取石术治疗。比较两组手术切口长度、操作期间出血量、手术操作时间、术后下床活动时间、术后住院时间、治疗总有效率、术后复发率、并发症发生率、术后不同时间点疼痛程度评分、生活质量评分及治疗满意度。结果治疗组患者手术切口长度和操作期间出血量低于对照组,差异有统计学意义(P<0.05);治疗组手术操作时间、术后下床活动时间、术后住院时间均短于对照组(P<0.05);治疗组术后并发症、复发率均低于对照组,差异有统计学意义(P<0.05);治疗组治疗总有效率为90.9%,明显高于对照组的72.7%(P<0.05);治疗组术后不同时间点疼痛程度评分、生活质量评分均优于对照组(P<0.05);治疗组患者治疗满意度为95.5%,明显高于对照组的79.5%(P<0.05)。结论微创经皮肾镜取石术治疗复杂性泌尿系统结石病变,可减少操作期间出血量,减小操作切口,降低术后并发症发生率和复发率,明显缩短手术操作时间和术后恢复时间,减轻术后疼痛,从而改善生活质量,明显提升治疗效果和患者满意度。

Effect of minimally invasive percutaneous nephrolithotomy in the treatment of complex urinary calculi

Objective To study the effect of minimally invasive percutaneous nephrolithotomy in the treatment of complex urinary calculi.Methods 88 patients with complex urinary calculi from April 2018 to April 2020 in our hospital were selected as the research subjects,and they were divided into treatment group and control group according to randomly table method,with 44 cases in each group.The control group was treated with conventional open surgery,and the treatment group was treated with minimally invasive percutaneous nephrolithotomy.The length of incision,blood loss during operation,operation time,postoperative ambulation time,postoperative hospital stay,total effective rate,postoperative recurrence rate,complication rate,postoperative pain score at different time points,quality of life score and treatment satisfaction were compared between the two groups.Results The length of incision and the amount of blood loss during operation in the treatment group were lower than those in the control group,the difference was statistically significant(P<0.05).The operation time,postoperative activity time and postoperative hospitalization time in the treatment group were shorter than those in the control group(P<0.05).The postoperative complications and recurrence rate in the treatment group were lower than those in the control group,and the difference was statistically significant(P<0.05).The total effective rate of treatment in the treatment group was 90.9%,which was significantly higher than that of control group of 72.7%(P<0.05).The scores of pain degree and quality of life in the treatment group were better than those in the control group at different time points(P<0.05).The treatment satisfaction of the treatment group was 95.5%,which was higher than that of the control group of 79.5%(P<0.05).Conclusion Minimally invasive percutaneous nephrolithotomy in the treatment of complex urinary calculi can reduce the amount of bleeding during the operation,reduce the operation incision,reduce the incidence of postoperative complications and recurrence rate,significantly shorten the operation time and postoperative recovery time,reduce postoperative pain,so as to improve the quality of life,significantly improve the treatment effect and patient satisfaction.