摘要
目的研究输尿管软镜与经皮肾镜碎石术在肾结石中的治疗效果。方法在我院2013年8月～2015年12月收治的肾结石患者中选出102例作为观察对象，按照选择的手术方法分成A组和B组，A组患者52例采用输尿管软镜碎石术治疗。B组50例患者采用经皮肾镜碎石术治疗，就两组患者的治疗结果展开对比研究。结果对于直径＜2 cm的患者，A组患者的术中出血量少、手术时间长，且术后发热发生率低、住院时间短，P＜0.05；对于直径≥2 cm的患者，B组患者的结石清除率、术中出血量、手术时间、发热发生率和住院时间指标均好于A组，P＜0.05。结论对肾结石患者的治疗，输尿管软镜碎石术和经皮肾镜碎石术均能取得较好的治疗效果，而直径＜2 cm的患者更适合采用输尿管软镜碎石术，≥2 cm的患者更适合采用经皮肾镜碎石术治疗。
Objective To study the effect of flexible ureteroscopy and percutaneous nephroscope lithotripsy in the treatment of kidney stones. Methods 102 cases of patients with kidney stones in our hospital from August 2013 to December 2015 were selected as observation objects and were divided into A group and B group according to the choice of surgical methods, A group was treated with ureteral soft lens lithotripsy. B group was treated with percutaneous nephroscope lithotripsy, two groups of patients had the treatment results of contrast research. Results For patients with less than 2 cm in diameter, patients in group A were bleeding less, long operation time and postoperative fever rate is low, shorter hospitalization time, P〈0.05; for larger than 2 cm in diameter of the patients, The stone clearance rate, the amount of bleeding, operation time, the incidence of fever and the length of stay in the B group were better than the A group, P〈0.05. Conclusion For the treatment of patients with kidney stones, ureter soft lithotripsy and percutaneous nephrolithotomy lithotripsy can achieve better therapeutic effect, while the diameter 〈2 cm were more suitable for lfexible ureteroscope lithotripsy,≥2 cm It was more suitable for percutaneous nephrolithotomy lithotripsy.
出处
《中国继续医学教育》
2016年第21期114-116,共3页
China Continuing Medical Education
关键词
输尿管软镜
经皮肾镜
碎石术
肾结石
Flexible ureteroscope
Percutaneous nephrolithotomy
Lithotripsy
Kidney Stones
