输尿管软镜碎石与经皮肾镜碎石治疗肾盂结石的对比研究

发布时间：2019-07-12 19:14

【摘要】：目的探讨输尿管软镜碎石与经皮肾镜碎石治疗肾盂结石的效果。方法收集该院泌尿外科2013年1月至2016年1月收治的单发肾盂结石患者65例的临床诊疗资料,其中采用输尿管软镜碎石治疗的33例患者为A组,采用经皮肾镜碎石治疗的患者32例为B组,分析2组患者手术时间、碎石成功率、并发症及平均住院时间。结果对于直径大于或等于2cm肾盂结石,B组手术时间、碎石成功率均明显优于A组,但术中出血、平均住院时间上,A组优于B组,差异有统计学意义(P0.05)。对于直径小于2cm的肾盂结石,2组碎石成功率差异无统计学意义(P0.05),但A组手术时间、术中出血及平均住院时间优于B组(P0.05)。结论直径小于2cm的肾盂结石适合选用输尿管软镜,直径大于或等于2cm的肾盂结石适合选用经皮肾镜碎石。
[Abstract]:Objective to investigate the effect of soft endoscopic lithotripsy and percutaneous nephrolithotripsy in the treatment of pyelolithiasis. Methods the clinical data of 65 patients with single pyelolithiasis treated by urology from January 2013 to January 2016 were collected. Among them, 33 patients were treated with soft endoscopic lithotripsy in group A and 32 patients in group B. the operation time, success rate, complications and average hospitalization time of the two groups were analyzed. Results for pyelolithiasis with diameter greater than or equal to 2cm, the operation time and success rate of lithotripsy in group B were significantly better than those in group A, but the average hospital stay in group A was better than that in group B, the difference was statistically significant (P 0.05). For pyelolithiasis smaller than 2cm, there was no significant difference in the success rate of lithotripsy between the two groups (P 0.05), but the operation time, intraoperative bleeding and average hospitalization time in group A were better than those in group B (P 0.05). Conclusion the diameter of renal pelvis stones smaller than 2cm is suitable for soft ureter, and the diameter of renal pelvis stones larger than or equal to 2cm is suitable for percutaneous nephrolithotripsy.
【作者单位】：重庆市第十三人民医院;
【分类号】：R699.2

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