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目的探讨输尿管气压弹道碎石术和微创经皮肾镜碎石术对输尿管上段结石临床疗效差异。方法应用随机数字表法将2009年2月至2012年2月在我院泌尿外科住院治疗的96例输尿管上段结石患者分为对照组和实验组,对照组患者进行微创经皮肾镜碎石术,而实验组患者则进行输尿管气压弹道碎石术,比较对照组和实验组患者在手术时间、术中出血量、术后住院时间、住院费用、碎石成功率、结石排尽率及并发症发生率等疗效指标。结果实验组患者在手术时间、术中出血量、术中并发症、术后住院时间、碎石成功及结石排尽率明显少于/低于对照组的(P<0.05),具有统计学意义,但是实验组患者住院费用明显多于/高于对照组的(P<0.05),具有统计学意义。结论输尿管气压弹道碎石术治疗输尿管上段结石疗效确切,不良反应少,但是对于输尿管上段较大结石、结石停留时间较长的患者优先选择微创经皮肾镜碎石术进行治疗。
Objective To investigate the clinical effects of ureter pneumatic lithotripsy and minimally invasive percutaneous nephrolithotomy on upper ureteral calculi. Methods A total of 96 patients with upper ureteral calculi admitted to Department of Urology in our hospital from February 2009 to February 2012 were randomly divided into control group and experimental group. Patients in control group were treated with minimally invasive percutaneous nephrolithotomy The patients in the experimental group underwent ureteral pneumatic lithotripsy. The patients in the control group and the experimental group were compared in terms of operation time, intraoperative blood loss, postoperative hospital stay, hospitalization costs, success rate of gravel, Disease incidence and other indicators of efficacy. Results The patients in the experimental group had significantly less operation time, intraoperative blood loss, intraoperative complications, postoperative hospital stay, gravel success and stone discharge rate than those in the control group (P <0.05) , But the cost of hospitalization in the experimental group was significantly higher than that in the control group (P <0.05), which was statistically significant. Conclusions Ureteral pneumatic lithotripsy is effective in the treatment of upper ureteral calculi, with few adverse reactions. However, patients with longer stones in the upper ureter and longer residence time of stones should be treated with minimally invasive percutaneous nephrolithotomy.