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目的:探讨输尿管软镜与经皮肾镜碎石术治疗肾结石的临床效果。方法:回顾性分析2013年10月-2015年10月本院收治的114例肾结石患者的一般资料,将其按照住院先后顺序分为研究组(经输尿管软镜碎石术)与对照组(经皮肾镜碎石术)。对比分析两组患者治疗效果。结果:在直径≤20mm结石治疗中,两组患者清石率无显著性差异(P>0.05);研究组手术时间长于对照组,术中失血量少于对照组(P<0.05);在直径>20mm结石治疗中,两组患者清石率有显著性差异(P<0.05);研究组手术时间长于对照组,术中失血量少于对照组(P<0.05)。结论:输尿管软镜治疗肾结石具有微创、安全、可靠优势,适用于直径≤20mm的结石;经皮肾镜在治疗直径>20mm的结石中效果显著,且手术时间短。
Objective: To investigate the clinical effect of ureteroscopic and percutaneous nephrolithotripsy in the treatment of kidney stones. Methods: The clinical data of 114 patients with nephrolithiasis admitted to our hospital from October 2013 to October 2015 were retrospectively analyzed. They were divided into study group (ureteroscopic lithotripsy) and control group ( Percutaneous nephrolithotomy). Comparative analysis of two groups of patients treatment. Results: There was no significant difference between the two groups (P> 0.05) in the treatment of stones less than or equal to 20 mm in diameter. The operation time of the study group was longer than that of the control group, and the blood loss during operation was less than that of the control group (P <0.05) (P <0.05). The operation time of the study group was longer than that of the control group, and the blood loss during operation was less than that of the control group (P <0.05). Conclusion: The ureteroscopic treatment of kidney stones with minimally invasive, safe, reliable, suitable for stones ≤ 20mm diameter; percutaneous nephrolithotomy in the treatment of stones with a diameter of> 20mm significant effect, and the operation time is short.