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目的:探讨电子输尿管软镜钬激光碎石处理孤立肾结石的临床效果。方法:2013年1月~2015年6月共收治孤立性肾结石患者107例,用数字表方法对其进行分组处理,53例患者运用微创经皮肾镜取石术(MPCNL组)进行治疗;54例患者采用电子输尿管软镜钬激光碎石术(软镜组)进行治疗,对比上述两组患者的临床治疗效果。结果:术后4周常规行泌尿系平片(KUB)或双肾CT平扫检查,评估结石排净率。残留结石直径≥4mm为有临床意义的结石残留。软镜组清石率87.0%,MPCNL组清石率90.6%,两组比较差异无统计学意义;但出血量软镜组明显少于MPCNL组。结论:采用电子输尿管软镜钬激光碎石术治疗孤立性肾结石,有创伤小、术后并发症少、恢复快等优势,值得推广。
Objective: To investigate the clinical effect of electronic ureteroscopic holmium laser lithotripsy in the treatment of isolated kidney stones. Methods: From January 2013 to June 2015, 107 patients with isolated renal calculus were enrolled. The patients were treated by digital meter and 53 patients were treated by minimally invasive percutaneous nephrolithotomy (MPCNL). 54 patients underwent electron ureteroscopic holmium laser lithotripsy (soft mirror group) for treatment, comparing the clinical efficacy of the two groups of patients. Results: Urine plain film (KUB) or double renal CT scan was performed routinely 4 weeks after operation to evaluate the rate of stone removal. Residual stones ≥ 4mm in diameter for the clinical significance of residual stones. Clearance rate was 87.0% in the soft lens group and 90.6% in the MPCNL group, but there was no significant difference between the two groups; however, the amount of bleeding in the soft lens group was significantly less than that in the MPCNL group. Conclusion: The ureteroscopic holmium laser lithotripsy for the treatment of solitary kidney stones has the advantages of less trauma, less postoperative complications and faster recovery, which is worthy of promotion.