摘要
目的对比分析微创经皮肾镜碎石术与电子输尿管软镜碎石术治疗直径≤2 cm肾结石的临床效果。方法方便选择该院2013年2月—2017年3月收治的58例肾结石患者为研究对象,以随机数字表法分为A、B两组,每组29例,A组接受微创经皮肾镜碎石术治疗,B组接受电子输尿管软镜碎石术治疗,对两组患者手术情况、结石清除率进行观察。结果两组手术时间差异无统计学意义(t=1.145,P>0.05),A组术中出血量较B组高,住院时间较长,差异有统计学意义(t=19.738、8.422,P<0.05);A组一期结石清除率为93.10%、总结石清除率为96.55%,B组一期结石清除率为72.41%,总结石清除率为93.10%,A组一期结石清除率较B组高(χ~2=4.350,P<0.05),两组总结石清除率差异无统计学意义(χ~2=0.351,P>0.05)。A组患者并发症发生率为34.48%,明显较B组(10.34%)高(χ~2=4.858,P<0.05)。结论电子输尿管软镜碎石术一期结石清除率较微创经皮肾镜碎石术低,但电子输尿管软镜碎石术总结石清除率与微创经皮肾镜碎石术相当,且手术创伤小,能减少并发症发生,缩短术后住院时间,可作为直径≤2 cm肾结石的首选术式。
Objective To compare and analyze the clinical effect of minimally invasive percutaneous nephrolithotomy and digital flexible ureteroscope lithotripsy in treatment of Kidney stones whose diameter≤2 cm.Methods 58 cases of patients with kidney stones admitted and treated in our hospital from February 2013 to March 2017 were convenient selected and randomly divided into two groups with 29 cases in each,the group A and group B were respectively treated with minimally invasive percutaneous nephrolithotomy and digital flexible ureteroscope lithotripsy,and the operation situation,stones clearance rate of the two groups were observed.Results The difference in the operation time between the two groups was not obvious(t=1.145,P>0.05),and the intraoperative bleeding amount in the group A was higher than that in the group B,and the length of stay was longer,and the differences were statistically significant(t=19.738,8.422,P<0.05),and the first-stage stones clearance rate and total stones clearance rate in the group A were higher than those in the group B(93.10%,96.55%vs 72.41%,93.10%),(χ2=4.350,P<0.05),and the difference between the two groups was not obvious(χ2=0.351,P>0.05),and the incidence rate of complications in the group A was obviously higher than that in the group B(34.48%vs 10.34%)(χ2=4.858,P<0.05).Conclusion The first-stage stones clearance rate of digital flexible ureteroscope lithotripsy is lower than that of minimally invasive percutaneous nephrolithotomy,and the total stones clearance rate of the two is similar,with small operation wound,which can reduce the occurrence of complications,and shorten the length of stay after surgery,which can be used as the first operation method of kidney stones whose diameter≤2 cm.
作者
李智斌
LI Zhi-bin(Department of Urinary Surgery,People's Hospital of Dali Bai Autonomous Prefecture,Dali,Yunnan Province,671000 China)
出处
《中外医疗》
2018年第8期84-86,共3页
China & Foreign Medical Treatment
关键词
微创经皮肾镜
电子输尿管软镜
碎石术
肾结石
Minimally invasive percutaneous nephrolithotomy
Digital flexible ureteroscope
Lithotripsy
Kidney stones
