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目的:探讨微造瘘经皮肾镜治疗输尿管上段结石并重度肾积水病人的临床效果。方法:将输尿管上段结石并重度肾积水的41例患者随机分成对照组和治疗组,对照组行腹腔镜下输尿管切开取石术治疗,治疗组行微造瘘经皮肾镜治疗,比较两组患者的治疗效果。结果:治疗组手术时间、住院时间、术中出血量以及术后2d疼痛评分均优于对照组,P<0.05;治疗组结石清除率为95.24%,且高于对照组的70.00%,P<0.05。结论:在输尿管上段结石并重度肾积水病人中应用微造瘘经皮肾镜治疗能有效改善临床症状,提高结石清除率,加快患者的恢复进程,值得推广。
Objective: To investigate the clinical effect of percutaneous nephrolithotomy on patients with upper ureteral calculi and severe hydronephrosis. Methods: 41 patients with upper ureteral stones and severe hydronephrosis were randomly divided into control group and treatment group. The control group was treated by laparoscopic ureterolithotomy. The treatment group was treated by percutaneous nephrolithotomy. Group of patients treatment effect. Results: The operation time, hospital stay, intraoperative blood loss and postoperative 2d pain scores of the treatment group were better than those of the control group (P <0.05). The stone clearance rate in the treatment group was 95.24%, which was higher than that in the control group (70.00%, P < 0.05. Conclusions: Percutaneous nephrolithotomy in patients with upper ureteral calculi and severe hydronephrosis can effectively improve clinical symptoms, improve the rate of stone removal and accelerate the recovery of patients, which is worthy of popularization.