摘要
目的观察经皮肾镜下碎石与联合输尿管软镜治疗复杂性肾结石的临床效果。方法方便选取2016年10月—2019年10月70例复杂性肾结石患者,随机分为研究组与对照组,每组35例。对照组患者采用经皮肾镜下碎石术治疗,研究组患者采用经皮肾镜下碎石术联合输尿管软镜术治疗。比较两组患者围术期临床指标,结石清除情况及并发症发生情况。结果两组患者术后血红蛋白水平分别为(113.5±15.5)、(101.5±12.6)g/L较术前均下降,对照组降幅更大,差异有统计学意义(χ^2=2.471,P<0.05),研究组患者手术用时及住院天数少于对照组患者,差异有统计学意义(P<0.05)。研究组患者的感染、出血及输尿管损伤、并发症发生率低于对照组患者,差异有统计学意义(χ^2=5.714,P>0.05)。研究组患者结石清除率为94.29%,对照组患者结石清除率为74.29%,两组患者的结石清除率组间,差异有统计学意义(χ^2=5.285,P<0.05)。结论复杂性肾结石患者采用经皮肾镜下碎石联合输尿管软镜治疗,结石清除率高,住院时间短,并发症发生率低,临床应用前景广泛。
Objective To observe the clinical effect of percutaneous nephrolithotomy and combined ureteroscopy in the treatment of complicated kidney stones.Methods From October 2016 to October 201970 patients with complicated kidney stones were randomly divided into a research group and a control group,35 cases in each group.The patients in the control group were treated with percutaneous nephrolithotripsy,and the patients in the study group were treated with percutaneous nephrolithotomy and soft ureteroscopy.The perioperative clinical indicators,stone removal and complications of the two groups were compared.Results The postoperative hemoglobin levels of the two groups were(113.5±15.5)g/L,(101.5±12.6)g/L,compared with the preoperative period,the control group had a larger decrease,the difference was statistically significant(t=2.471,P<0.05).The operation time and hospitalization days of the study group were less than those of the control group.The difference between the groups was not statistically significant(P<0.05).The incidence of infection,bleeding and ureteral injury complications in the study group was lower than that in the control group,and the difference between the groups was statistically significant(χ^2=5.714,P>0.05).The stone clearance rate in the study group was 94.29%,and the stone clearance rate in the control group was 74.29%.The difference in stone removal rate between the two groups was statistically significant(χ^2=5.285,P<0.05).Conclusion Patients with complicated kidney stones are treated with percutaneous nephrolithotripsy combined with ureteroscopy,which has high stone clearance rate,short hospital stay,low complication rate,and broad clinical application prospects.
作者
张军宏
ZHANG Jun-hong(Urology Surgery,Dingxi People's Hospital of Gansu Province,Dingxi,Gansu Province,810909 China)
出处
《中外医疗》
2020年第18期29-31,共3页
China & Foreign Medical Treatment
关键词
经皮肾镜下碎石
联合输尿管软镜
复杂性肾结石
临床效果
Percutaneous nephrolithotripsy
Combined ureteroscopy
Complicated kidney stones
Clinical effect
