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目的:比较后腹腔镜与经皮肾镜治疗复杂性输尿管上段结石的疗效。方法:收治复杂性输尿管上段结石患者84例,随机分为观察组与对照组,每组42例。观察组采用后腹腔镜输尿管切开取石术治疗,对照组采用微创经皮肾镜取石术治疗,对比两组术中出血量、住院时间以及术后3 d结石清除率。结果:观察组住院时间、术中出血量低于对照组,差异具有统计学意义(P<0.05)。观察组结石清除率明显优于对照组,差异具有统计学意义(P<0.05)。结论:后腹腔镜输尿管切开取石术与微创经皮肾镜取石术治疗复杂性输尿管上段结石的临床疗效显著。采用后腹腔镜输尿管切开术的患者出血量较少,结石清除率更理想。
Objective: To compare the efficacy of retroperitoneal laparoscopy and percutaneous nephroscope in the treatment of complex upper ureteral calculi. Methods: 84 patients with complicated upper ureteral calculi were randomly divided into observation group and control group, with 42 cases in each group. The patients in the observation group were treated by retroperitoneal laparoscopic ureterolithotomy and the control group was treated by minimally invasive percutaneous nephrolithotomy. The blood loss, hospitalization time and stone clearance rate at 3 days after operation were compared between the two groups. Results: The length of hospital stay and blood loss in the observation group were significantly lower than those in the control group (P <0.05). The stone clearance rate in the observation group was significantly better than that in the control group, the difference was statistically significant (P <0.05). Conclusion: The retroperitoneal laparoscopic ureterolithotomy and minimally invasive percutaneous nephrolithotomy in the treatment of complex upper ureteral calculi clinical efficacy significantly. Laparoscopic ureterotomy patients with less bleeding, stone clearance rate is more ideal.