摘要
目的比较分析经皮肾镜碎石取石术与经尿道输尿管软镜碎石取石术治疗输尿管上段嵌顿性结石的安全性及有效性。方法随机选取133例输尿管上段嵌顿性结石的患者作为研究对象,根据结石治疗原则将其分为对照组和观察组,对照组患者进行经皮肾镜取石术(PCNL组),观察组患者行经输尿管软镜取石术(FURL组)。结果 2组患者经过治疗,经皮肾镜取石术的对照组患者清石率(98.46%)高于经输尿管软镜取石术组(94.11%),但在手术时间、术中出血量、发热、迟发性出血、术后住院时间等方面均少于输尿管软镜取石术组,差异具有统计学意义(P<0.05)。结论经输尿管软镜碎石取石术与经皮肾镜取石术治疗患者输尿管上段嵌顿性结石都具有明显效果,但是经皮肾镜取石术清石效果更好,经输尿管软镜取石术的手术时间、术中出血量、并发症少,住院时间短安全性更高。
Objective To explore and analyze the safety and efficacy of percutaneous nephrolithotripsy and transurethral flexible uret- eroscopy lithotripsy for incarcerated upper ureteral calculi. Methods A total of 133 patients with incarcerated upper ureteral calculi were randomly selected as the study subjects, and divided into a control group and an observation group according to the calculi treatment principles. Specifically, the patients in the control group and the observation group underwent the percutaneous nephrolithotripsy（ PCNL group） and the flexible ureteroscopy lithotripsy （FURL group） respectively. Results After treatment, the calculus clearance rate of the percutaneous nephrolithotripsy（ 98. 46% ） in the control group was higher than that of the flexible ureteroscopy lithotripsy（ 94.11% ） in the observation group;however, the percutaneous nephrolithotripsy had the advantages of operation time, intraoperative blood loss, fever, delayed hemorrhage and postoperative hospital stay compared with the flexible ureteroscopy lithotripsy; thus the difference between the two groups was statistically significant（P 〈 0.05）. Conclusion Although both the transurethral flexible ureteroscopy lithotripsy and the percutaneous nephrolithotripsy have significant efficacy on the treatment of patients with incarcerated upper ureteral calculi, the former proves to have better calculi clearance effect. However,in term of the hospital stay and complications, the latter has the advantages of less operation time, intraoperative blood loss and complications, short hospital stay and higher security.
作者
李晟
冯庆兴
刘旭东
杨俊杰
LI Sheng;FENG Qing-xing;LIU Xu-dong;YANG Jun-jie(Research Institute of Surgery,Third Affiliated Hospital of Army Medical University,Chongqing 400032,Chin)
出处
《局解手术学杂志》
2018年第7期504-507,共4页
Journal of Regional Anatomy and Operative Surgery
