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目的:对比分析微创经皮肾镜碎石与输尿管镜碎石在输尿管上段结石的临床疗效。方法:以我院2013年6月-2015年8月期间收治45例输尿管上段结石患者作为本文研究甲组,其治疗方案为输尿管镜碎石术;选择同期另45例行微创经皮肾镜碎石治疗的输尿管上段结石患者作为乙组,对比两组治疗经过和疗效。结果:甲组患者手术时间、术中出血量和住院总时间等数据优于乙组,差异有统计学意义;但乙组患者治疗成功率和结石清除率明显优于甲组,差异P<0.05。结论:在针对输尿管上段结石手术治疗上,采用微创经皮肾镜碎石术和输尿管镜碎石术两种手术方式均能取得显著治疗效果,前者结石清除率更高,但后者手术时间和术中出血量较少,且后者总治疗时间较前者短,临床应结合患者实际情况选择合适手术方式。
Objective: To compare the clinical curative effect of minimally invasive percutaneous nephrolithotriplasty and ureteroscopic lithotripsy on upper ureteral calculi. Methods: Forty-five patients with upper ureteral calculi treated in our hospital from June 2013 to August 2015 were selected as study group A. The treatment was ureteroscopic lithotripsy. Another 45 patients underwent minimally invasive percutaneous nephrolithotomy Gravel treatment of upper ureteral calculi in patients as Group B, compared with the two groups after treatment and efficacy. Results: The data of operation time, blood loss and total length of hospital stay in group A were better than those in group B, the difference was statistically significant. However, the success rate of treatment and stone removal in group B were significantly better than that in group A, P <0.05 . Conclusion: For the surgical treatment of upper ureteral calculi, both minimally invasive percutaneous nephrolithotomy and ureteroscopic lithotripsy can achieve significant therapeutic effect, the former stone clearance rate higher, but the latter operation time And less bleeding during surgery, and the latter total treatment time shorter than the former, the clinical should be combined with the actual situation of patients choose the appropriate surgical approach.