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目的探讨经皮肾镜和输尿管软镜治疗肾结石的效果。方法 104例肾结石患者,随机分为甲组和乙组,各52例。甲组患者采用经皮肾镜治疗,乙组患者采用输尿管软镜治疗,比较两组患者的结石清除率、手术时间、术中出血量、住院时间等指标。结果甲组患者的手术时间短于乙组,术中出血量多于乙组,差异有统计学意义(P<0.05)。两组结石清除率比较,差异无统计学意义(P>0.05)。甲组患者住院时间为(6.2±1.5)d,乙组患者为(4.5±1.0)d,比较差异有统计学意义(P<0.05)。结论经皮肾镜手术和输尿管软镜手术治疗肾结石均能取得较好的治疗效果,临床医师选择手术方式时应综合考虑患者的具体情况,合理选择手术方式,促进患者早日康复。
Objective To investigate the effect of percutaneous nephrolithotomy and ureteroscopic treatment of kidney stones. Methods 104 patients with kidney stones were randomly divided into group A and group B, each 52 cases. Group A patients were treated with percutaneous nephrolithotomy, Group B patients treated with ureteroscopy, stone clearance rate, operation time, intraoperative blood loss, length of stay and other indicators were compared between the two groups. Results The operation time of group A was shorter than group B, and the amount of bleeding during operation was more than that of group B (P <0.05). There was no significant difference in stone clearance between the two groups (P> 0.05). The duration of hospital stay in group A was (6.2 ± 1.5) days and in group B was (4.5 ± 1.0) days, with significant difference (P <0.05). Conclusion Percutaneous nephrolithotomy and ureteroscopic surgery for renal calculi can achieve a better therapeutic effect. Clinicians should consider the specific conditions of the patients comprehensively and select the appropriate surgical methods to promote the early rehabilitation of the patients.