摘要
目的比较输尿管软镜碎石术与经皮肾镜碎石术治疗肾结石的效果。方法34例肾结石患者,根据手术方法不同分为对照组(14例)和观察组(20例)。观察组采用输尿管软镜碎石术治疗,对照组采用经皮肾镜取石术治疗。比较两组患者手术时间、术后住院时间、术中出血量,清石成功率及二次手术率、术后24 h疼痛评分。结果观察组患者手术时间(101.95±10.31)min、术后住院时间(3.26±1.27)d均短于对照组的(145.95±13.02)min、(6.26±1.02)d,术中出血量(83.83±28.13)ml少于对照组的(110.34±27.03)ml,差异有统计学意义(P<0.05)。两组患者清石成功率及二次手术率对比,差异无统计学意义(P>0.05)。对照组患者术后24 h疼痛评分为(0.49±0.06)分,观察组患者术后24 h疼痛评分为(0.31±0.02)分;观察组患者术后24 h疼痛评分低于对照组,差异有统计学意义(t=12.528,P=0.000<0.05)。结论输尿管软镜碎石术治疗肾结石可取得良好的清石成功率,且安全性较高,具有良好的临床应用价值。
Objective To compare the effect of ureteroscopic lithotripsy and percutaneous nephrolithotripsy in the treatment of kidney stone.Methods A total of 34 patients with kidney stones were divided into control group(14 cases)and observation group(20 cases)according to different surgical methods.The observation group was treated with ureteroscopic lithotripsy,and the control group was treated with percutaneous nephrolithotomy.Both groups were compared in terms of operation time,postoperative hospitalization time,intraoperative blood loss,success rate of stone removal and reoperation rate,and pain score at 24 h postoperatively.Results The operation time(101.95±10.31)min and postoperative hospitalization time(3.26±1.27)d of the observation group were shorter than(145.95±13.02)min and(6.26±1.02)d of the control group,and the intraoperative blood loss(83.83±28.13)ml was less than(110.34±27.03)ml of the control group.All the differences were statistically significant(P<0.05).There was no statistically significant difference in the success rate of stone removal and the reoperation rate between the two groups(P>0.05).The pain score at 24 h postoperatively was(0.49±0.06)points in the control group,and(0.31±0.02)points in the observation group;the pain score at 24 h postoperatively of the observation group was lower than that of the control group,and the difference was statistically significant(t=12.528,P=0.000<0.05).Conclusion The treatment of kidney stone by ureteroscopic lithotripsy can get a good stone removal rate and high safety,which has good clinical application value.
作者
孙强
SUN Qiang(Fengcheng Central Hospital,Fengcheng 118100,China)
出处
《中国实用医药》
2022年第3期38-41,共4页
China Practical Medicine
关键词
输尿管软镜碎石术
经皮肾镜碎石术
肾结石
治疗效果
安全性
Ureteroscopic lithotripsy
Percutaneous nephrolithotripsy
Kidney stones
Therapeutic effect
Safety
