摘要
目的:观察经皮肾镜取石术(PCNL)和经尿道输尿管镜碎石术(URL)两种治疗手段在复杂性输尿管结石治疗中的临床效果。方法:对复杂性输尿管结石的患者手术资料进行回顾性分析,严格按照入组标准与排除标准确定入组患者,同时根据诊断标准观察患者手术时间、术中出血量、住院时间、手术成功率、残余结石、术后并发症和治疗失败例数,将相关数据结果代入SPSS 13.0进行统计学分析处理,记录相关结果。结果:URL能够明显缩短手术时间,减少术中出血和住院时间,能够显著减少脓毒症的发生率。PCNL能够显著降低患者血尿的发生率。其他方面二者不具有显著性差异;URL能够明显改善患者的重度肾积水程度。结论:针对复杂性输尿管结石制定治疗方案时应综合考虑患者的自身状况,选择合理的治疗手段。
Objective：To observe the clinical effects of the two ways （PCNL and URL） which treatment for complicated ureteral stones.Methods：Operative data of complicated ureteral calculi patients were retrospectively analyzed in 6 years of our department,patients were enrolled according to the strict inclusion criteria and exclusion criteria.Operative time,blood loss,hospital stay,the success rate of surgery,residual stones,postoperative complications and treatment failure were observed,and the related data result were substituted into SPSS 13.0 for statistical analysis and processing,results were recorded.Results：Operation time was shortened by URL significantly and blood loss and length of hospital stay were significantly reduced; Incidence of sepsis was reduced significantly by URL,and the incidence of patients with hematuria was significantly reduced by PCNL.There were not statistically significant in other aspects; The patients＇ severe degree of hydronephrosis was significantly improved by URL.Conclusion：Reasonable choice of treatment will be chosen when treatment plan for complicated ureteral calculi was established considering the patients＇ own situation.
出处
《中国医学装备》
2014年第8期110-113,共4页
China Medical Equipment
关键词
复杂性输尿管结石
经皮肾镜取石术
经尿道输尿管镜碎石
并发症
Complicated ureteral calculi
Percutaneous nephrolithotomy lithotomy
Ureteroscopic lithotripsy
Transurethral
