摘要
目的:对比分析微创经皮肾镜取石术与输尿管切开取石术治疗上尿路结石效果。方法:选取2018年3月~2020年6月收治的102例上尿路结石患者分为观察组和对照组,观察组给予微创经皮肾镜取石术治疗,对照组给予输尿管切开取石术治疗,比较两组临床疗效、手术情况、实验室指标、术后并发症及结石清除率。结果:观察组、对照组临床疗效总有效率分别为96.08%、94.12%,无显著性差异(P>0.05);观察组手术时间、住院时间、术中出血量、VAS评分显著低于对照组(P<0.05);术前两组WBC、CRP水平无显著性差异(P>0.05),术后观察组WBC、CRP水平显著对于对照组(P<0.05);观察组术后并发症发生率为1.96%,较对照组15.67%显著降低(P<0.05);两组结石清除率分别为90.20%、86.27%,无显著性差异(P>0.05)。结论:微创经皮肾镜取石术治疗上尿路结石具有与输尿管切开取石术治疗相当的疗效,但是微创经皮肾镜取石术耗时更短,对患者的创伤更小,缓解其疼痛,降低术后并发症发生率,提高安全性,值得推广。
Objective:To compare and analyze the effect of minimally invasive percutaneous nephrolithotomy and ureterectomy for upper urinary calculi;Method:Select 102 patients with upper urinary tract calculi admitted from March 2018 to June 2020 For the observation group and the control group,the observation group was treated with minimally invasive percutaneous nephrolithotomy,and the control group was treated with ureterostomy and lithotripsy.The clinical efficacy,surgical conditions,laboratory indicators before and after the operation,postoperative complications,and stones were compared between the two groups.Clearance;Results:The total effective rates of clinical curative effect in the observation group and control group were 96.08%and 94.12%,respectively,with no significant difference(P>0.05).The operation time and hospital stay in the observation group were significantly shorter than those in the control group,and the amount of intraoperative blood loss The VAS score was significantly reduced compared with the control group(P<0.05).There was no significant difference in the levels of WBC and CRP between the two groups before operation(P>0.05).The WBC and CRP levels of the control group rose more significantly after the operation(P<0.05).The observation group The postoperative complication rate was 1.96%significantly lower than that of the control group 15.67%(P<0.05),and the stone clearance rates of the two groups were 90.20%and 86.27%respectively.There was no significant difference(P>0.05);Conclusion:minimally invasive transdermal Nephrolithotomy for the treatment of upper urinary tract stones has the same curative effect as ureterectomy lithotripsy,but the minimally invasive percutaneous nephrolithotomy is less time-consuming,less traumatic to the patient,relieves pain and reduces postoperative complications It is worthy of promotion.
作者
吴永东
林立国
郑丽珍
WU Yongdong;LIN Liguo;ZHENG Lizhen(The Traditional Chinese Medicine Hospital of Meizhou,Meizhou,Guangdong 514071,China)
出处
《包头医学院学报》
CAS
2020年第10期42-44,126,共4页
Journal of Baotou Medical College
关键词
微创经皮肾镜取石术
输尿管切开取石术
上尿路结石
临床效果
minimally invasive percutaneous nephrolithotomy
ureterostomy
upper urinary calculi
clinical effect
