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目的探讨组合式软性输尿管镜((Flexible ureteroscopy,FURS)和经皮肾镜(Percutaneous nephrolithotomy,PCNL)治疗肾结石的疗效和应用价值。方法选择2015年11月—2016年11月收治的肾结石患者94例,随机分为输尿管镜组(观察组)和经皮肾镜组(对照组),各47例,对比两组手术治疗情况和术后并发症发生率。计量资料比较采用t检验,计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果对于直径<20 mm和直径≥20 mm肾结石患者,观察组手术时间[(68.5±10.3)、(93.7±6.4)min]长于对照组[(44.2±9.6)、(69.4±5.3)min],但是术中出血量[(9.4±3.8)、(11.7±5.8)ml]少于经皮组[(73.7±8.4)、(82.6±11.7)ml],差异有统计学意义(均P<0.05);观察组并发症发生率6.38%低于对照组的23.40%,差异有统计学意义(P<0.05)。结论采用组合式软性输尿管镜治疗结石患者,虽然手术治疗时间较长,但是出血量小,且术后产生的并发症也相对较少,适用于所需时间较长的手术;经皮镜治疗适用于所需时间较短的手术。
Objective To investigate the therapeutic effect and application value of combined flexible ureteroscopy (FURS) and percutaneous nephrolithotomy (PCNL) in the treatment of renal calculi.Methods Kidney stones were collected from Nov 2015 to Nov 2016 94 patients were randomly divided into ureteroscopy group (observation group) and percutaneous nephrolithoty group (control group), 47 cases in each group, compared the two groups of surgical treatment and postoperative complications.Measurement data using t test, The data of count were compared by χ ~ 2 test, the difference was statistically significant at P <0.05.Results For the patients with diameter less than 20 mm and diameter≥20 mm, the operation time [(68.5 ± 10.3), (93.7 ± 6.4) (44.2 ± 9.6) and (69.4 ± 5.3) min, respectively, but the intraoperative blood loss was (9.4 ± 3.8) and (11.7 ± 5.8) ml less than that in the percutaneous group (73.7 ± 8.4) , (82.6 ± 11.7) ml, respectively), the difference was statistically significant (P0.05) .The incidence of complications in the observation group was 6.38% lower than that in the control group (23.40%), the difference was statistically significant (P0.05) Combined ureteroscopy treatment of patients with stones, although the surgical treatment of a longer time, but the bleeding is small, and postoperative complications are relatively small, Longer time required for surgery; shorter surgical percutaneous treatment for the desired mirror.