输尿管软镜与经皮肾镜手术治疗肾结石的效果对比观察
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摘要
目的:对比观察肾结石治疗中输尿管软镜与经皮肾镜手术的效果。方法:收治肾结石患者158例,随机分两组,观察组手术中使用输尿管软镜,对照组手术中使用经皮肾镜,对比观察两组效果。结果:观察组患者术中失血量少于对照组,对照组手术时长短于观察组;结石直径>20 mm时,对照组结石清除率高于观察组,组间对比差异有统计学意义(P<0.05);术后并发症观察组总发生率11.39%,对照组2.53%,两组差异有统计学意义(P<0.05)。结论:在肾结石的治疗中输尿管软镜与经皮肾镜手术均有着良好的效果,但是输尿管软镜更适合直径<20 mm的结石,而经皮肾镜更适合直径>20 mm的结石,所以在临床应用中还需要结合患者病情合理选用治疗方案。
Objective:To compare the effects of ureteral soft tissue and percutaneous nephrolithotomy in the treatment of renal calculi.Methods:158 patients with renal calculus were selected,they were randomly divided into the two groups.Flexible ureteroscope was used in the observation group and percutaneous nephroscope was used in the control group.We compared and observed the effect of the two groups.Results:The blood loss of the observation group was lower than that of the control group.The operative duration of the control group was shorter than that of the observation group.When the diameter of the stone was >20 mm,the stone removal rate of the control group was higher than that of the observation group.The differences between the groups were statistically significant(P<0.05).The total incidence of postoperative complications was 11.39% in the observation group and2.53% in the control group,the difference between the two groups was statistically significant(P<0.05).Conclusion:In the treatment of kidney stones,ureteroscopy and percutaneous nephrolithotomy have good results,but ureteroscopy is more suitable for stones with a diameter of <20 mm,and percutaneous nephrolithography is more suitable for stones larger than 20 mm in diameter,therefore,in clinical applications,it is also necessary to select a treatment plan based on the patients' condition.
Objective:To compare the effects of ureteral soft tissue and percutaneous nephrolithotomy in the treatment of renal calculi.Methods:158 patients with renal calculus were selected,they were randomly divided into the two groups.Flexible ureteroscope was used in the observation group and percutaneous nephroscope was used in the control group.We compared and observed the effect of the two groups.Results:The blood loss of the observation group was lower than that of the control group.The operative duration of the control group was shorter than that of the observation group.When the diameter of the stone was >20 mm,the stone removal rate of the control group was higher than that of the observation group.The differences between the groups were statistically significant(P<0.05).The total incidence of postoperative complications was 11.39% in the observation group and2.53% in the control group,the difference between the two groups was statistically significant(P<0.05).Conclusion:In the treatment of kidney stones,ureteroscopy and percutaneous nephrolithotomy have good results,but ureteroscopy is more suitable for stones with a diameter of <20 mm,and percutaneous nephrolithography is more suitable for stones larger than 20 mm in diameter,therefore,in clinical applications,it is also necessary to select a treatment plan based on the patients' condition.
引文
[1]邓青富,姜睿,裴利军,等.电子输尿管软镜与微创经皮肾镜碎石术治疗肾结石的比较[J].实用医学杂志,2016,32(5):721-723.
[2]朱峰,范毛川,陈帅奇,等.输尿管软镜与微创经皮肾镜碎石术治疗直径≤2 cm肾结石的对比分析[J].新乡医学院学报,2016,33(6):533-535.
[3]安宇,黄建林,廖勇,等.经皮肾镜碎石取石术联合逆行输尿管软镜手术治疗女性鹿角形肾结石[J].山东医药,2016,56(3):68-70.
[4]皇甫佳文,颜伟,张菊根,等.经皮肾镜碎石术与输尿管软镜治疗肾结石的临床疗效对比研究[J].河北医学,2016,22(10):1683-1685.
[5]廖国栋,俞蔚文,章越龙,等.超微经皮肾镜和输尿管软镜在治疗肾结石中的感染控制及疗效对比研究[J].中华医院感染学杂志,2017,27(11):2543-2546.
[2]朱峰,范毛川,陈帅奇,等.输尿管软镜与微创经皮肾镜碎石术治疗直径≤2 cm肾结石的对比分析[J].新乡医学院学报,2016,33(6):533-535.
[3]安宇,黄建林,廖勇,等.经皮肾镜碎石取石术联合逆行输尿管软镜手术治疗女性鹿角形肾结石[J].山东医药,2016,56(3):68-70.
[4]皇甫佳文,颜伟,张菊根,等.经皮肾镜碎石术与输尿管软镜治疗肾结石的临床疗效对比研究[J].河北医学,2016,22(10):1683-1685.
[5]廖国栋,俞蔚文,章越龙,等.超微经皮肾镜和输尿管软镜在治疗肾结石中的感染控制及疗效对比研究[J].中华医院感染学杂志,2017,27(11):2543-2546.