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目的探讨经皮肾镜碎石术和经尿道输尿管镜碎石术,治疗输尿管上段嵌顿结石的临床效果。方法以2013年10月-2015年9月深圳市龙岗区人民医院收治的输尿管上段嵌顿结石患者82例为研究对象,通过随机数字表法分为A、B两组,每组41例,A组行经皮肾镜碎石术治疗,B组行经尿道输尿管镜碎石术治疗,观察两组患者结石清除情况及并发症发生情况。结果A组患者术后3d、1个月的结石清除率达到92.68%、100.00%,同B组的70.73%、85.37%比较差异有统计学意义(P<0.05);A、B两组患者并发症发生率分别为14.63%、9.76%比较差异无统计学意义(P>0.05),两组均未出现严重反应。结论经皮肾镜碎石术能更有效清除结石,效果显著,且安全性与经尿道输尿管镜碎石术相当,并发症发生率低,值得推广。
Objective To investigate the clinical effect of percutaneous nephrolithotripsy and transurethral ureteroscopic lithotripsy in the treatment of upper ureteral incarcerated stones. Methods Totally 82 patients with upper ureteral incarcerated stones who were admitted to Longgang District People’s Hospital from October 2013 to September 2015 were divided into A and B groups by random number table method, with 41 cases in each group. A Group were treated with percutaneous nephrolithotomy, group B was treated by ureteroscopic lithotripsy, the stone clearance and complication of the two groups were observed. Results The stone clearance rates of group A were 92.68% and 100.00% 3d and 1 month after operation, respectively, which were significantly different from those of group B (70.73% and 85.37%, P <0.05) The incidence of disease were 14.63% and 9.76%, respectively, with no significant difference (P> 0.05). No serious reaction occurred in both groups. Conclusion Percutaneous nephrolithotomy is more effective in removing stones and has a significant effect. The safety is equivalent to that of transurethral ureteroscopic lithotripsy, and the complication rate is low, so it is worth to be popularized.