经皮肾镜取石术治疗体外冲击波碎石失败的肾结石的效果

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Abstract ObjectiveTo investigate the effect of percutaneous nephrolithotomy in the treatment of kidney stones after failed extracorporeal shock wave lithotripsy.MethodsA total of 82 cases of kidney stones after failed extracorporeal shock wave lithotripsy who were admitted to the department of urology in our hospital from January to December in 2017 were selected and randomly divided into the control group and the observation group,41 cases in each group.The control group was given extracorporeal shock wave lithotripsy treatment,and the observation group was given percutaneous nephrolithotomy.The effectswas compared between the two groups.ResultsThe stone removal time and operation time in the observation group were longer than those in the control group,with significant difference(P＜0.05).There was no significant difference in the length of hospital stay between the two groups　(P＞0.05).The rate of stone clearance in the observation group was 97.6%(40/41),which was significantly higher than that of 63.4%(26/41)in the control group,the differencewas statistically significant(P＜0.05).After treatment,the levels of BUN and Cr in the two groupswere lower than those before treatment,and the levels of BUN and Cr in the observation group after treatment were lower than those in the control group,with significant difference　(P＜0.05).The incidence rate of complication in the observation group was 4.9%,which was significantly lower than that of 19.5%in the control group,and there was statistically significant difference　(P＜0.05).ConclusionFor the cases of clinically treated kidney stones after failed extracorporeal shock wave lithotripsy,percutaneous nephrolithotomy has a higher level of stone clearance rate,the safety is ideal,and the renal function has a significant improvement effect.It isworthy of clinical promotion and application.

Key words： Kidney stones Failed extracorporeal shock wave lithotripsy Percutaneous nephrolithotomy

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	YANG Yue

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YANG Yue. Effect of percutaneous nephrolithotom y in the treatment of kidney stones after failed extracorporeal shock wave lithotripsy[J]. 中国当代医药, 2018, 25(16): 84-86.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I16/84

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