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目的对比分析输尿管镜下钬激光碎石和经皮肾镜取石术治疗肾结石的疗效。方法对2013年10月—2016年10月收治的120例肾结石患者,根据治疗方式的不同随机分为输尿管镜组(70例)和经皮肾镜组(50例),分别采用输尿管镜下钬激光碎石治疗和经皮肾镜取石治疗,比较两种治疗方法的碎石成功率、血红蛋白情况、手术时间、住院时间以及并发症发生率。结果两组患者结石直径、手术碎石时间以及结石清除率均不存在统计学意义(P>0.05);输尿管镜组血红蛋白下降值、住院时间以及住院费用等方面均少于经皮肾镜组,对比有统计学意义(P<0.05)。结论在碎石成功率和手术时间对比上两种治疗方法区别不明显,但输尿管镜碎石能够减小患者创面并减少患者的住院时间,节省成本,在并发症发生率方面也具有显著优势。
Objective To analyze the curative effect of ureteroscopic holmium laser lithotripsy and percutaneous nephrolithotomy on renal calculus. Methods A total of 120 patients with nephrolithiasis who were admitted to our hospital from October 2013 to October 2016 were randomly divided into ureteroscopy group (70 cases) and percutaneous nephrolithotomy group (50 cases) according to different treatment methods. Ureteroscopy Holmium laser lithotripsy and percutaneous nephrolithotomy were used to compare the success rates of gravel, hemoglobin, operation time, hospitalization time and complications in the two treatment methods. Results There was no significant difference in stone diameter, operation time and stone clearance between the two groups (P> 0.05). The values of hemoglobin, length of stay and cost of hospitalization in ureteroscopy were less than those in percutaneous nephrolithotomy group, The comparison was statistically significant (P <0.05). Conclusion There is no obvious difference between the success rate of the gravel and the operation time. However, ureteroscopic lithotripsy can reduce the patient ’s wound surface, reduce the hospitalization time, save the cost and have a significant advantage in the complication rate.