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目的观察不同手术方式治疗肾及输尿管结石的疗效。方法根据我院确诊为肾及输尿管结石患者150例个体特点及病情,分别给予经微创经皮肾镜取石(MPCNL组65例)、体外冲击波碎石(ESWL组40例)和逆行输尿管镜取石(URL组45例),观察三组疗效。结果 MPCNL组一次成功率和术后1个月结石清除率分别为100%和98.46%,均明显高于ESWL组和URL组,差异有统计学意义(P<0.05),但手术中出血量、手术时间和住院时间也高于ESWL组和URL组(P<0.05)。ESWL组和URL疗效无统计学差异(P>0.05)。结论 MPCNL治疗肾及输尿管结石的疗效显著,安全性高,复发率低。
Objective To observe the curative effect of different surgical methods on the treatment of renal and ureteral calculi. Methods According to the individual characteristics and condition of 150 patients with renal and ureteral calculi diagnosed in our hospital, we divided them by minimally invasive percutaneous nephrolithotomy (MPCNL group, 65 cases), extracorporeal shock wave lithotripsy (ESWL group, 40 cases) and retrograde ureteroscopy (URL group 45 cases), the three groups observed efficacy. Results The primary success rate of MPCNL group and stone clearance rate at 1 month after operation were 100% and 98.46% respectively, which were significantly higher than those in ESWL group and URL group (P <0.05). However, the blood loss, The operation time and hospital stay were also higher than those in ESWL group and URL group (P <0.05). There was no significant difference between the ESWL group and the URL (P> 0.05). Conclusion MPCNL treatment of renal and ureteral calculi significant effect, high safety, low recurrence rate.