输尿管软镜在肾结石治疗中的临床应用价值分析
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摘要
目的:探讨输尿管软镜在肾结石治疗中的临床应用价值。方法:选取2016年1月-2018年1月笔者所在医院收治的86例肾结石患者作为研究对象,依据入院先后顺序把全部患者均分成对照组和试验组。对照组患者接受体外冲击波碎石治疗,试验组患者接受输尿管软镜碎石治疗,对比两组手术成功率、结石净排率、手术时间、住院时间等指标。结果:试验组患者手术成功率及结石净排率分别为97.67%、95.35%,明显优于对照组的79.07%、76.74%,差异有统计学意义(P<0.05);对照组手术治疗时间为(54.8±2.0)min,住院时长(10.7±2.8)d,均显著高于试验组的(39.5±2.6)min、(4.9±1.4)d,差异均有统计学意义(P<0.05)。结论:输尿管软镜在肾结石患者的治疗中有着突出价值,能够有效提高肾结石手术的成功率,缩短手术治疗时间及住院时间,具备结石清除率高的优势,可作为治疗肾结石安全有效的方法。
Objective:To explore the clinical value of flexible ureteroscopy in the treatment of renal calculi.Method:A total of 86 patients with renal calculi treated in this hospital from January 2016 to January 2018 were selected as the research objects.All patients were divided into the control group and the experimental group according to the order of admission.The patients in the control group were treated with extracorporeal shock wave lithotripsy,and the patients in the experimental group were treated with flexible ureteroscopy lithotripsy.The differences of the two groups were compared,such as the success rate,he net stone discharge rate,the time of operation and the time of hospitalization.Result:The successful rate of operation and the net discharge rate of the patients in the experimental group were 97.67% and 95.35% respectively,which were significantly better than those of the control group(79.07%,76.74%),the operation time of the control group(54.8±2.0)min and hospitalization time(10.7±2.8)d,were significantly higher than those of the experimental group of(39.5±2.6)min,(4.9±1.4)d, and the difference was significant(P<0.05).Conclusion:Flexible ureteroscopy has a prominent value in the treatment of renal calculus.It can effectively improve the success rate of stone surgery,shorten the time of operation and time of hospitalization,has the advantages of high stone clearance rate,which can be used as a safe and effective method for the treatment of kidney stones.
Objective:To explore the clinical value of flexible ureteroscopy in the treatment of renal calculi.Method:A total of 86 patients with renal calculi treated in this hospital from January 2016 to January 2018 were selected as the research objects.All patients were divided into the control group and the experimental group according to the order of admission.The patients in the control group were treated with extracorporeal shock wave lithotripsy,and the patients in the experimental group were treated with flexible ureteroscopy lithotripsy.The differences of the two groups were compared,such as the success rate,he net stone discharge rate,the time of operation and the time of hospitalization.Result:The successful rate of operation and the net discharge rate of the patients in the experimental group were 97.67% and 95.35% respectively,which were significantly better than those of the control group(79.07%,76.74%),the operation time of the control group(54.8±2.0)min and hospitalization time(10.7±2.8)d,were significantly higher than those of the experimental group of(39.5±2.6)min,(4.9±1.4)d, and the difference was significant(P<0.05).Conclusion:Flexible ureteroscopy has a prominent value in the treatment of renal calculus.It can effectively improve the success rate of stone surgery,shorten the time of operation and time of hospitalization,has the advantages of high stone clearance rate,which can be used as a safe and effective method for the treatment of kidney stones.
引文
[1]高小峰,李凌.输尿管软镜在肾结石治疗中的应用[J].现代泌尿外科杂志,2014,19(5):387-391.
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[8]陈雷振,许海峰,冯涛.输尿管软镜在治疗经皮肾镜取石术后残余肾结石中的应用价值[J].中国医师进修杂志,2015,38(3):160-163.
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[12]李知春,刘慧.输尿管软镜治疗肾结石的临床效果观察[J].国外医药:抗生素分册,2014,35(4):204-205.
[13]廖平有,朱伦锋.输尿管软镜在肾结石治疗中的应用价值分析[J].中国医疗器械信息,2016,22(18):80.
[14]李刚,邓新军,罗彬.输尿管软镜治疗肾结石的临床疗效观察[J].中国实用医药,2016,11(16):64-65.
[15]何冉,丁鑫,崔绍琼.输尿管软镜在肾结石合并复杂尿路感染治疗中的疗效分析[J].中外医学研究,2018,16(14):146-148.
[16]宋华,陈乙铭.输尿管软镜在肾结石治疗中的应用研究[J].医学信息,2017,30(5):253-254.
[2]郭恒辉,陈国伟,袁莉敏.输尿管软镜与经皮肾镜治疗肾结石的疗效比较[J].新疆医学,2015,45(11):1622-1624.
[3]张啸.输尿管软镜治疗肾结石的临床应用[D].南昌:南昌大学,2016.
[4]高小峰,李凌,彭泳涵.输尿管软镜的临床应用[J].临床外科杂志,2014,22(2):89-91.
[5]桂定文,杨嗣星,张青汉.输尿管软镜治疗肾结石的现状和展望[J].临床泌尿外科杂志,2014,29(5):452-457.
[6]冯德刚.输尿管软镜技术在肾结石治疗中的应用[J].检验医学与临床,2016,13(15):1925-1927.
[7]徐明曦,张明,董国勤,等.输尿管软镜治疗肾结石合并复杂尿路感染的疗效分析[J].现代泌尿外科杂志,2015,20(12):315-318.
[8]陈雷振,许海峰,冯涛.输尿管软镜在治疗经皮肾镜取石术后残余肾结石中的应用价值[J].中国医师进修杂志,2015,38(3):160-163.
[9]张亮.输尿管软镜在输尿管上段及肾结石疾病中的临床应用[D].乌鲁木齐:新疆医科大学,2015.
[10]康郑军,于洋.输尿管软镜联合钬激光治疗肾结石临床应用[J].医药论坛杂志,2014(8):98-99.
[11]赵英民.输尿管软镜在肾结石治疗中的应用[J].中国社区医师,2015,31(30):55-56.
[12]李知春,刘慧.输尿管软镜治疗肾结石的临床效果观察[J].国外医药:抗生素分册,2014,35(4):204-205.
[13]廖平有,朱伦锋.输尿管软镜在肾结石治疗中的应用价值分析[J].中国医疗器械信息,2016,22(18):80.
[14]李刚,邓新军,罗彬.输尿管软镜治疗肾结石的临床疗效观察[J].中国实用医药,2016,11(16):64-65.
[15]何冉,丁鑫,崔绍琼.输尿管软镜在肾结石合并复杂尿路感染治疗中的疗效分析[J].中外医学研究,2018,16(14):146-148.
[16]宋华,陈乙铭.输尿管软镜在肾结石治疗中的应用研究[J].医学信息,2017,30(5):253-254.