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目的:探讨肾结石采用经输尿管镜取石术与经皮肾镜取石术治疗的效果。方法:研究来自我院2015年4月至2016年12月期间收治的80例肾结石患者,依据不同手术方式分为对照组与观察组各40例,对照组采用经皮肾镜取石术,观察组采用经输尿管镜取石术,分析不同手术治疗的手术时间、出血量、住院时长、并发症与结石清除情况差异。结果:在手术时间与手术出血量上,观察组显著少于对照组,两组对比具有统计学意义,p<0.05;在并发症发生率上,观察组为7.5%,对照组为25%,两组对比具有统计学意义,p<0.05;在结石清除率上,观察组为95%,对照组为92.5%,两组差异不具有统计学意义,p<0.05。结论:肾结石采用经输尿管镜取石术与经皮肾镜取石术治疗均可以达到较好结石清除率,但是经输尿管镜取石术可以减少手术创伤,同时降低并发症,患者接受度更好。
Objective: To investigate the effect of renal calculi treated with ureteroscopic lithotomy and percutaneous nephrolithotomy. Methods: 80 patients with nephrolithiasis admitted from our hospital from April 2015 to December 2016 were divided into control group (40 cases) and observation group (40 cases) according to different operation methods. The control group was treated by percutaneous nephrolithotomy Group using ureteroscopic lithotomy, analysis of different surgical treatment of operation time, bleeding, length of stay, complications and stone clearance differences. Results: In the operation time and surgical bleeding, the observation group was significantly less than the control group, the two groups was statistically significant, p <0.05; in the incidence of complications, the observation group was 7.5%, the control group was 25% The two groups were statistically significant, p <0.05; in the stone clearance rate, the observation group was 95%, the control group was 92.5%, the difference between the two groups was not statistically significant, p <0.05. Conclusion: Kidney stones treated by ureterolithotomy and percutaneous nephrolithotomy can achieve better stone clearance rate, but ureteroscopic lithotripsy can reduce the surgical trauma and reduce the complications, the patient acceptance is better.