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经皮肾镜与经尿道输尿管软镜碎石术治疗单侧肾结石的效果对比 被引量:2

Comparison of the Effect of Percutaneous Nephrolithotomy and Transurethral Ureteroscopy in the Treatment of Unilateral Kidney Stones
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摘要 目的:分析经皮肾镜与经尿道输尿管软镜碎石术治疗单侧肾结石的临床效果。方法:选取2016年1月~2019年1月本院收治的108例单侧肾结石患者,采取随机数字表法将108例患者均分为对照组和观察组,每组各54例,对照组采取经皮肾镜碎石术进行治疗,观察组采取经尿道输尿管软镜碎石术进行治疗,观察两组患者手术指标、并发症发生率及结石清除率。结果:两组患者并发症发生率及结石清除率对比无明显差异(P>0.05);观察组手术时间比对照组高,但术中出血量、住院时间低于对照组,差异具有统计学意义(P<0.05)。结论:经皮肾镜与经尿道输尿管软镜碎石术在单纯肾结石患者治疗中结石清除率均较高,但相较于经皮肾镜碎石术,单侧肾结石采取经尿道输尿管软镜碎石术治疗虽手术时间更长,但术中出血量、住院时间更短。 Objective:To analyze the clinical effect of percutaneous nephrolithotomy and transurethral flexible ureteroscopy in the treatment of unilateral kidney stones.Methods:From January 2016 to January 2019,our hospital 108 cases of patients with unilateral kidney stones,take a random number table method 108 patients were divided into control group and observation group,each group of 54 cases,control group take percutaneous nephroscope lithotripsy for treatment,observation group treated with transurethral lithotripsy for ureteral soft mirror,observation index of two groups of patients with surgery,complications and stone clearance rate.Results:There was no significant difference in complication rate and stone clearance rate between the two groups(P>0.05).The operation time in the observation group was higher than that in the control group,but the intraoperative blood loss and hospital stay were lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Percutaneous nephroscope lithotripsy with transurethral ureteral soft mirror in pure stone clearance rate were higher in treatment of patients with renal stones,but compared with percutaneous nephroscope lithotripsy,unilateral kidney stone treated with transurethral soft ureter mirror lithotripsy is operation time is longer,but the intraoperative blood loss,and shorter hospitalization time,worthy of clinical popularization and application.
作者 孙文龙 SUN Wen-long(Liaoning Xingcheng People’s Hospital,Liaoning Xingcheng 125100)
出处 《中国医疗器械信息》 2021年第9期134-134,159,共2页 China Medical Device Information
关键词 经皮肾镜碎石术 经尿道输尿管软镜碎石术 单侧肾结石 临床效果 percutaneous nephrolithotomy transurethral ureteroscopic lithotripsy unilateral kidney stones clinical effect
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