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目的:探讨微创经皮肾镜取石手术治疗上尿路结石临床疗效及应用价值。方法:选择我院治疗的上尿路结石患者94例作为研究对象,采取随机数字表法分为观察组和对照组,每组各47例,对照组采取经腹腔镜输尿管切开取石治疗,观察组采取微创经皮肾镜取石治疗,观察两组治疗情况。结果:观察组患者一期结石清除率优于对照组,并发症发生率低于对照组,组间资料比较差异有统计学意义(P<0.05)。观察组患者手术时间、术中出血量和住院时间均优于对照组,组间资料比较差异有统计学意义(P<0.05)。结论:采用微创经皮肾镜取石手术治疗上尿路结石疗效显著,并发症少,缩短手术时间和住院时间,值得在临床上大力推广使用。
Objective: To investigate the clinical effect and application value of minimally invasive percutaneous nephrolithotomy in the treatment of upper urinary tract calculi. Methods: Ninety-four patients with upper urinary tract stones treated in our hospital were selected as the study subjects. The patients were divided into observation group and control group by random number table method, 47 cases in each group. The control group was treated by laparoscopic ureterolithotomy. Group to take minimally invasive percutaneous nephrolithotomy stone treatment, observation of two groups of treatment. Results: The rate of primary stone removal in the observation group was better than that in the control group, and the complication rate was lower than that in the control group. There was significant difference between the two groups (P <0.05). The operation time, intraoperative blood loss and hospital stay in the observation group were better than those in the control group. There was significant difference between the two groups (P <0.05). Conclusion: The minimally invasive percutaneous nephrolithotomy for the treatment of upper urinary tract stones has obvious curative effect, less complications, shortened operation time and hospital stay, and is worth to be popularized in clinic.