摘要
目的比较输尿管软镜与经皮肾镜碎石术治疗肾结石的临床疗效。方法选取2016年10月至2017年12月本院收治的60例肾结石患者,随机分为两组,各30例。A组实施输尿管软镜碎石术,B组实施经皮肾镜碎石术,比较两组的结石清除率、术中出血量、手术时间、术后并发症。结果两组的结石清除率比较差异无统计学意义(P>0.05),A组的术中出血量显著少于B组(P<0.05),手术时间显著长于B组(P<0.05),术后并发症总发生率显著低于B组(P<0.05)。结论采用输尿管软镜与经皮肾镜碎石术治疗肾结石均可有效清除结石,输尿管软镜碎石术还具有创伤小、出血少、术后并发症少等优势。
Objective To compare the clinical effect of ureteroscopy and percutaneous nephrolithotomy in the treatment of renal calculi. Methods Sixty cases of renal calculi in our hospital from October 2016 to December 2017 were selected and randomly divided into 2 groups,30 cases in each group. The ureteroscopic lithotripsy was performed in the group A,and the percutaneous nephrolithotomy was performed in group B. The stone clearance rate,the amount of intraoperative bleeding,operation time and postoperative complications were compared between the two groups. Results There was no significant difference in stone clearance between two groups(P>0.05),while the amount of bleeding in group A was less than group B(P<0.05),the operation time was longer than group B(P<0.05),and the total incidence of postoperative complications was lower than group B(P<0.05). Conclusion Flexible ureteroscopy and percutaneous nephrolithotomy can effectively remove stones,ureteroscopic lithotripsy has advantages such as less trauma,less bleeding and fewer postoperative complications.
出处
《大医生》
2018年第5期33-34,共2页
Doctor
关键词
肾结石
输尿管软镜
经皮肾镜碎石术
renal calculi
soft ureteroscope
percutaneous nephrolithotomy
