摘要
目的探讨肾造瘘结合经尿道输尿管镜下碎石术治疗并发肾感染的输尿管下段结石临床效果。方法选取合并肾感染的输尿管下段结石患者150例,随机分为两组,对照组患者(n=63)给予开放术式输尿管取石;观察组患者(n=87)给予肾造瘘结合经尿道输尿管镜下碎石。统计两组患者手术时间、术中出血量、住院时间以及治疗效果。结果观察组患者的手术时间、术中出血量、住院时间及总有效率分别为(61.26±14.93)min、(40.27±4.92)mL、(7.26±2.47)d、(100.0%),对照组分别为:(50.48±8.27)min、(55.07±14.38)mL、(10.61±2.28)d、(92.06%),上述指标组间差异均具有显著性(P<0.05)。结论采取肾造瘘结合经尿道输尿管镜下碎石对并发肾感染的输尿管下段结石进行治疗有着创伤小、恢复快、效果好等优点,可以在临床中作为常规的治疗方式进行推广。
Objective To investigate the clinical effect of renal fistulization combined with ureteroscopic lithotripsy in the treatment of ureteral stones with renal infection. Methods 150 patients with ureteral calculi and renal infection were randomLy divided into two groups. The control group patients （n = 63） were taken with open surgical ureteral stone; The patients in the observation group （n=87） were given the nephrostomy combined with ureteroscopic lithotripsy. The operative time, intraoperative blood loss, hospital stay and treatment effect were taken for stastics. Results The operative time, blood loss, hospital stay and total efficiency in the observation group were （61.26 ± 14.93）min, （40.27 ± 4.92） mL, （7.26 ±2.47） d （100.0%）. In the control group were： （50.48 ± 8.27） min, （55.07 ± 14.38）mL, （10.61 ± 2.28）d, （92.06%）. The differences were with statistical significance （P 〈0.05） in the above-mentioned group of indicators. Conclusion Renal fistulization combined with ureteroseopic lithotripsy in the treatment of ureteral stones with renal infection has the advantage of minimally invasive, fast recovery and good result. It can be as the conventional treatment in the clinical promote.
出处
《当代医学》
2012年第32期5-6,共2页
Contemporary Medicine
关键词
肾造瘘
经尿道输尿管镜
肾感染
输尿管结石
Nephrostomy
Ureteroscopy gravel
Kidney infection
Ureteral stones
