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目的:面对输尿管上段结石疾病,对输尿管镜取石与经皮肾镜取石这两种治疗方法的临床效果进行分析。方法:随机选取2012年1月-2014年1月期间,在我院确诊并进行治疗的120例单侧输尿管上段结石患者,均分为两组,URL组患者60例,PCNL组患者60例。对两组患者的结石负荷、手术时间、术后发热、血红蛋白降低值、总住院时间及清石率等指标进行观察。结果:URL组结石大小为(1.0±0.3)cm,PCNL组为(1.4±0.4)cm。URL组1例结石上移至肾盂终止手术,其余59例均成功完成手术,取净结石。结论:URL和PCNL在该种类型的疾病治疗的过程中,所取得的治疗效果是比较理想的,不过经过一系列的对比,PCNL的计算结果比较准确,对于部分患有这种类型的疾病的患者使用PCNL来完成治疗,相对来说效果比较好一些。
Objective: In the face of upper ureteral calculi disease, the clinical effects of ureteroscopic lithotripsy and percutaneous nephrolithotomy were analyzed. Methods: A total of 120 patients with unilateral ureteral calculi diagnosed and treated in our hospital from January 2012 to January 2014 were randomly divided into two groups: 60 patients in URL group and 60 patients in PCNL group. The two groups of patients with stone load, operation time, postoperative fever, hemoglobin decreased, total hospital stay and clear stone rate and other indicators were observed. Results: The stone size in the URL group was (1.0 ± 0.3) cm and in the PCNL group was (1.4 ± 0.4) cm. One case of URL group moved to the renal pelvis to stop the operation, the remaining 59 cases were successfully completed surgery, take net stones. Conclusion: The therapeutic effect of URL and PCNL in the treatment of this type of disease is ideal, but after a series of comparisons, the calculation result of PCNL is more accurate. For some patients with this type of disease Patients using PCNL to complete the treatment, relatively speaking, the effect is better.