论文部分内容阅读
目的:观察微创经皮肾镜碎石术治疗输尿管上段嵌顿性结石的临床疗效。方法:抽取我院2007年2月至2011年3月输尿管上段嵌顿性结石的患者60例,随机将其分为实验组和对照组,每组30例,给予实验组的患者经皮肾镜碎石术治疗,对照组的患者进行经尿道输尿管镜碎石术治疗,观察两组的结石消除率和并发症的发生率、手术时间和住院时间。结果:实验组在治疗一个月后结石消除率高达100%,显著高于对照组结石的消除率(87.2%),具有统计学差异(p<0.05);实验组患者的手术时间为59.2~66.4min,住院时间为4~7天,与对照组比较均有统计学差异(p<0.05)。两组术后发烧、感染、腹腔脏器损伤和迟发性出血等并发症发生率比较无统计学差异(p>0.05)。结论:微创经皮肾镜碎石术治疗输尿管上段嵌顿性结石的疗效明显,方法可靠,比较安全,可以在基层推广。
Objective: To observe the clinical effect of minimally invasive percutaneous nephrolithotripsy in the treatment of incarcerated upper ureteral calculi. Methods: Sixty patients with incarcerated ureteral calculi in our hospital from February 2007 to March 2011 were randomly divided into experimental group and control group, 30 cases in each group. The patients in experimental group were given percutaneous nephrolithotomy Lithotripsy treatment and control group patients were treated by transurethral ureteroscopic lithotripsy. The incidence of stone elimination and complication, operation time and hospital stay were observed in both groups. Results: The stone elimination rate was 100% in the experimental group after one month treatment, which was significantly higher than that in the control group (87.2%) (p <0.05). The operation time of the experimental group was 59.2 ~ 66.4 min, hospital stay of 4 to 7 days, compared with the control group were statistically significant (p <0.05). No significant difference was found in complication rates of fever, infection, abdominal organ injury and delayed hemorrhage between the two groups (p> 0.05). Conclusion: The minimally invasive percutaneous nephrolithotripsy is effective in treating incarcerated upper ureteral calculi. The method is reliable, safe and can be promoted at the grassroots level.