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目的观察孤立肾结石患者采取输尿管软镜碎石术与微创经皮肾镜碎石术的治疗效果。方法选取近2年在医院经临床病理学检查和临床治疗证实孤立肾结石患者46例,随机分为对照组与观察组各23例。对照组给予微创经皮肾镜碎石术治疗,观察组给予输尿管软镜碎石术治疗,观察并比较2组患者治疗后结石清除率及术后恢复情况。结果 2组患者经不同手术方式治疗后,结石清除率比较差异无统计学意义(P>0.05);观察组血红蛋白下降值(1.5±0.8)g/L、术后肠道恢复时间(27.3±15.2)h、住院时间(4.2±1.1)d明显低于对照组的(5.2±2.2)g/L、(36.2±11.8)h、(7.5±1.4)d(P均<0.05)。结论对于孤立肾结石患者来说,采用输尿管软镜碎石术,患者经受痛苦小,出血量小,术后恢复快,值得临床应用并推广。
Objective To observe the therapeutic effect of ureteroscopic lithotripsy and minimally invasive percutaneous nephrolithotomy in patients with isolated renal calculus. Methods In the past two years, 46 cases of isolated kidney stones confirmed by clinical pathology and clinical treatment in the hospital were randomly divided into control group and observation group with 23 cases each. The control group received minimally invasive percutaneous nephrolithotomy. The observation group received ureteroscopic lithotripsy. The stone clearance and postoperative recovery of the two groups were observed and compared. Results There was no significant difference in stone clearance between the two groups (P> 0.05). The decrease of hemoglobin in the observation group was (1.5 ± 0.8) g / L, the time of postoperative intestinal recovery (27.3 ± 15.2 ) h. The length of hospital stay (4.2 ± 1.1) d was significantly lower than that of the control group (5.2 ± 2.2) g / L, (36.2 ± 11.8) h and (7.5 ± 1.4) d respectively (all P <0.05). Conclusion For patients with isolated renal calculus, the ureteroscopic lithotripsy, patients suffering little pain, small amount of bleeding, postoperative recovery, worthy of clinical application and promotion.