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目的观察不同微创方法治疗上尿路结石的疗效,总结临床治疗经验。方法选择2014年7月至2015年12月80例上尿路结石患者进行治疗,征求患者同意,按照随机序号法将患者分为对照组和观察组,对照组采用体外冲击波碎石术治疗,观察组采用经皮肾穿刺取石术治疗,观察两组效果并进行比较。结果两组手术时间、术中出血量、住院时间比较差异均有统计学意义(P<0.05)。观察组手术成功率明显高于对照组,两组比较差异有统计学意义(P<0.05)。对照组不良反应发生率明显高于观察组,两组比较差异有统计学意义(P<0.05)。结论不同微创手术治疗上尿路结石效果均存在一定差异,临床需要考虑患者的实际情况,选择合适的手术方式,以期提高临床的治疗效果,但笔者更提倡皮肾穿刺取石术治疗。
Objective To observe the curative effect of different minimally invasive methods on upper urinary tract stones and to summarize the experience of clinical treatment. Methods From July 2014 to December 2015, 80 patients with upper urinary tract calculi were treated for consent of patients. According to the random number method, the patients were divided into control group and observation group. The control group was treated by extracorporeal shock wave lithotripsy. The group was treated with percutaneous nephrolithotomy, the effects of the two groups were observed and compared. Results The operation time, intraoperative blood loss and hospital stay were significantly different between the two groups (P <0.05). The success rate of observation group was significantly higher than the control group, the difference between the two groups was statistically significant (P <0.05). The incidence of adverse reactions in the control group was significantly higher than the observation group, the difference between the two groups was statistically significant (P <0.05). Conclusions Different minimally invasive surgical procedures may have different effects on the upper urinary tract stones. The clinical needs to consider the actual situation of the patients and select the appropriate surgical approach in order to improve the clinical efficacy. However, the author also advocates the treatment of percutaneous nephrolithotomy.