摘要
目的经尿道输尿管软镜与微创经皮肾镜取石治疗肾盏结石临床对比研究。方法研究对象选择2017年1月-2018年12月该院所收治的40例肾盏结石患者作为研究对象,按照患者手术方式将其分成两组,分别为经皮肾镜组与输尿管软镜组,每组20例,对两组患者手术时间以及碎石成功率进行比较分析。结果结石直径≥2 cm的患者,经皮肾镜组患者手术时间在上、中、下肾盏结石都明显要短于输尿管软镜组患者(t=12.345、10.345、11.340,P<0.05);对于结石直径<2 cm的上、中盏结石,经皮肾镜组时间长于输尿管软镜组(t=12.422、9.349,P<0.05)。结石直径≥2 cm的患者上、中、下肾盏结石治疗后经皮肾镜组碎石成功率明显高于输尿管软镜组(χ^2=5.245、5.134、5.024,P<0.05);结石直径<2 cm的患者上、中肾盏碎石成功率差异无统计学意义(P>0.05),结石直径<2 cm的下肾盏结石经皮肾镜组碎石成功率为100.00%,明显高于输尿管软镜组的50.00%,差异有统计学意义(χ^2=5.045,P<0.05)。结论肾盏结石患者直径≥2 cm,无论患者结石位于哪一位置都可以将微创经皮肾镜取石作为首选方式;肾盏结石直径<2 cm同时结石位于上、中肾盏位置的时候,可以将经尿道输尿管软镜取石作为首选,若是位于下肾盏则可以将微创经皮肾镜取石作为首选。
Objective A comparative study of transurethral ureteroscopy and minimally invasive percutaneous nephrolithotomy for the treatment of renal pelvis. Methods 40 patients with pyelonesis admitted to our hospital from January 2017 to December 2018 were enrolled in the study. They were divided into two groups according to the patient's surgical procedure: percutaneous nephrolithotomy and ureteroscopy, 20 cases in each group, compared the operation time of the two groups of patients and the success rate of the stone. Results In patients with ≥ 2 cm stone diameter, the operation time of the percutaneous nephrolithotomy was significantly shorter in the upper, middle and lower pelvis stones than in the ureteroscopy group(t=12.345, 10.345, 11.340, P<0.05). For upper and middle calculi with stone diameter <2 cm, the percutaneous nephrolithotomy group was longer than the ureteroscopy group(t=12.422, 9.349, P<0.05). The success rate of percutaneous nephrolithotomy in patients with ≥2 cm stone diameter was significantly higher than that in ureteroscopy group(χ^2=5.245, 5.134, 5.024, P<0.05);the diameter of stones was <2 cm. There was no significant difference in the success rate of upper and middle renal calculi in patients(P>0.05). The success rate of percutaneous nephrolithotomy with lower pyelone stone diameter <2 cm was 100.00% higher than that of ureteroscopy group 50.00%, was statistically significant(χ^2=5.045, P<0.05). Conclusion The diameter of patients with pyeloliths is ≥2 cm. Minimally invasive percutaneous nephrolithotomy is the preferred method regardless of the location of the patient's stones. When the diameter of the renal pelvis is <2 cm and the stones are located in the upper and middle renal pelvis, Transurethral ureteroscopy is the first choice. If it is located in the lower renal pelvis, minimally invasive percutaneous nephrolithotomy can be used as the first choice.
作者
扈云喜
HU Yun-xi(Department of Urology, People's Hospital of Wenshang County, Jining, Shandong Province, 272501 China)
出处
《世界复合医学》
2019年第6期1-3,共3页
World Journal of Complex Medicine
关键词
经尿道输尿管软镜取石
微创经皮肾镜取石
肾盏结石
Transurethral ureteral soft stone removal
Minimally invasive percutaneous nephrolithotomy
Renal pelvis stones
