输尿管软镜与经皮肾镜碎石术治疗肾结石疗效比较

发布时间：2018-04-14 22:35

  本文选题：肾结石 + 输尿管软镜　； 参考：《山东医药》2014年06期

【摘要】：目的比较输尿管软镜与经皮肾镜(PCNL)碎石术治疗肾结石的疗效。方法选择53例肾结石患者采用输尿管软镜治疗(输尿管软镜组),92例肾结石采用PCNL治疗(PCNL组),比较两种方法的手术时间、术中出血量、清石率,观察不良反应。结果输尿管软镜组术后4周总清石率为88.7%,PCNL组为94.6%。输尿管软镜组直径≤20 mm的结石及直径20 mm的结石患者手术时间长于PCNL,术中出血量少于PCNL组(P0.05)。结论直径≤20 mm的肾结石适合选用输尿管软镜,直径20 mm的肾结石适合选用PCNL。存在解剖结构异常、凝血功能异常、肾功能不全及穿刺困难者无论结石大小均是输尿管软镜的适应证。
[Abstract]:Objective to compare the effect of ureteral soft-lens lithotripsy and percutaneous nephrolithotripsy in the treatment of renal calculi.Methods Fifty three patients with renal calculi were treated with soft ureteroscopy (92 cases of ureteral calculi were treated with PCNL in ureteral soft microscope group). The time of operation, the amount of blood lost during operation, the rate of stone clearance and the adverse reactions were observed.Results in the soft ureteroscopy group, the total removal rate of stone was 88.7and PCNL (94.6%) 4 weeks after operation.The operative time of calculi with diameter 鈮，

本文编号：1751315