摘要
目的:研究经皮肾镜取石术治疗老年输尿管上段嵌顿性结石的效果及对肾功能的影响。方法:将某院接受治疗的60例输尿管上段嵌顿性结石老年患者随机分为两组,30位患者给予经尿道输尿管镜取石术(对照组),30位给予经皮肾镜取石术(观察组),对比两组患者结石清除率、手术时间、术中出血量等各项数据。结果:观察组患者结石清除率明显优于对照组,观察组患者在手术时间、术中出血量、肉眼血尿时间、住院时间及总花费均高于对照组,观察组患者并发症发生率低于对照组(P<0.05)。结论:输尿管上段嵌顿性结石老年患者选择经皮肾镜取石术有更高的结石清除率,显著降低患者并发症发生率,可作为输尿管上段嵌顿性结石的首选治疗方式。
Objective： To evaluate the effect of percutaneous nephrolithotomy in the treatment of upper ureteral calculi in elderly patients and its effect on renal function. Methods： 60 cases of elderly patients who accepted percutaneous nephrolithotomy on upper ure!eral calculi in a hospital were randomly divided into 2 groups, 30 patients received transurethral ureteroscopy （control group）, 30 patients given percutaneous nephrolithotomy （observation group）. The stone clearance rate, operation time and the amount of bleeding during operation were compared between the two groups. Results： The stone removal rate in observation group was significantly better than the control group. The operation time, intraoperative bleeding, hematuria time, hospitalization time and the total cost in observation group were higher than the control group. The complication rate of observation group was lower than that of control group （P〈0.05）. Conclusion： PCNL procedure has the advantages of higher clearance rate for patients with upper ureteral calculi, and can significantly reduce the incidence of complications. Therefore it can be used as the preferred treatment for upper ureteral calculi.
出处
《数理医药学杂志》
2017年第12期1790-1791,共2页
Journal of Mathematical Medicine
