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目的对比分析经皮肾镜碎石术和输尿管软镜技术治疗泌尿系结石的疗效。方法 80例泌尿系结石患者,50例肾结石患者行经皮肾镜碎石术,30例输尿管结石患者行输尿管软镜碎石术,观察比较治疗效果。结果经皮肾镜碎石术组手术平均时间为(95±8)min,术中平均失血量为(83±14)ml,平均住院时间为(16±2)d,残留结石8例,结石清除率为84.0%,出现并发症6例(12.0%),5例术后感染发热,1例术后反复发热。输尿管镜碎石术组平均时间为(96±10)min,术中平均失血量为(83±14)ml,平均住院时间为(14±2)d,残留结石4例,结石清除率为86.7%,出现并发症5例(16.7%),均为术后发热。结论经皮肾镜碎石术和输尿管软镜碎石术治疗泌尿系结石均有较好的疗效,但应把握适应证,预防并发症的发生。
Objective To comparatively analyze the curative effect of percutaneous nephrolithotomy and ureteroscopy on urinary calculi. Methods Eighty patients with urolithiasis and 50 patients with nephrolithiasis underwent percutaneous nephrolithotomy and 30 patients with ureteral calculi underwent ureteroscopic lithotripsy. The therapeutic effects were observed and compared. Results The average time of operation for percutaneous nephrolithotomy was (95 ± 8) min, mean blood loss was (83 ± 14) ml, mean length of stay was (16 ± 2) days, residual stones were 8, stones Clearance rate was 84.0%, complications occurred in 6 cases (12.0%), 5 cases of postoperative infection fever, 1 case of repeated fever. The average time of urinary lithotripsy was (96 ± 10) min. The average blood loss during operation was (83 ± 14) ml. The average length of hospital stay was (14 ± 2) days. Residual stones were found in 4 cases. The stone clearance rate was 86.7 %, Complications occurred in 5 cases (16.7%), were postoperative fever. Conclusion Percutaneous nephrolithotomy and ureteroscopic lithotripsy are effective in treating urolithiasis. However, indications should be taken to prevent the occurrence of complications.