摘要
目的分析逆行输尿管软镜碎石术联合单通道经皮肾镜碎石术治疗老年多发肾结石的临床价值。方法选取58例老年多发肾结石患者为研究对象,根据随机数字表法分为参照组和研讨组,每组29例。参照组患者采取单通道经皮肾镜碎石术治疗,研讨组患者采取逆行输尿管软镜碎石术联合单通道经皮肾镜碎石术治疗。比较两组患者手术相关指标、结石清除效果及术后并发症发生情况。结果研讨组患者手术时间(47.83±10.31)min、住院时间(7.30±1.8)d均短于参照组的(79.06±11.97)min、(10.11±2.49)d,术中出血量(72.13±11.59)ml少于参照组的(127.94±16.84)ml,差异具有统计学意义(P<0.05)。研讨组患者结石清除总有效率96.55%高于参照组的68.97%,差异具有统计学意义(P<0.05)。研讨组患者术后并发症发生率10.34%明显低于参照组的37.93%,差异具有统计学意义(P<0.05)。结论逆行输尿管软镜碎石术联合单通道经皮肾镜碎石术治疗老年多发肾结石的临床价值极高,相比单通道经皮肾镜碎石术治疗,可获得更优的结石清除率,安全性更高,更具推广意义。
Objective To analyze the clinical value of retrograde ureteroscopic lithotripsy combined with single-channel percutaneous nephrolithotripsy in the treatment of multiple kidney stones in the elderly.Methods A total of 58 elderly patients with multiple kidney stones were divided into reference group and study group according to the random numerical table,with 29 cases in each group.The reference group was treated with single-channel percutaneous nephrolithotripsy,and the study group was treated with retrograde ureteroscopic lithotripsy and single-channel percutaneous nephrolithotripsy.The surgery-related indexes,effect of stone clearance and postoperative complications were compared between the two groups.Results The operative time and hospitalization time in the study group were(47.83±10.31)min and(7.30±1.8)d,which were shorter than those of(79.06±11.97)min and(10.11±2.49)d in the reference group;the intraoperative blood loss of(72.13±11.59)ml in the study group was less than that of(127.94±16.84)ml in the reference group;the differences were statistically significant(P<0.05).The total effective rate of stone clearance in the study group was 96.55%,which was higher than that of 68.97%in the reference group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the study group was 10.34%,which was significantly lower than that of 37.93%in the reference group,and the difference was statistically significant(P<0.05).Conclusion Retrograde ureteroscopic lithotripsy combined with single-channel percutaneous nephrolithotripsy has high clinical value in the treatment of multiple kidney stones in the elderly.Compared with single-channel percutaneous nephrolithotripsy,it can obtain better stone clearance rate,higher safety,and has more promotion significance.
作者
伏伟
FU Wei(Linshu County People's Hospital,Linyi 276700,China)
出处
《中国实用医药》
2023年第18期61-64,共4页
China Practical Medicine
关键词
逆行输尿管软镜碎石术
单通道经皮肾镜碎石术
多发肾结石
临床价值
老年
Retrograde ureteroscopic lithotripsy
Single-channel percutaneous nephrolithotripsy
Multiple kidney stones
Clinical value
Old age
