输尿管镜碎石联合体外冲击波碎石治疗肾盂结石疗效分析

目的探讨输尿管镜碎石术(URSL)与体外冲击波碎石术(ESWL)联合治疗肾盂结石的临床效果。方法将湖北省黄冈市黄梅县妇幼保健院2009年4月至2012年3月收治的120例肾盂结石患者随机分为观察组与对照组,各60例,观察组给予URSL联合ESWL治疗,对照组给予URSL治疗,观察两组的临床疗效。结果观察组手术时间显著短于对照组(P<0.01);术中出血量显著少于对照组(P<0.01);结石清除率显著高于对照组(93.3%vs 56.7%)(P<0.01);术后尿路感染率比较差异无统计学意义(P>0.05)。结论 URSL与ESWL联合治疗肾盂结石疗效可靠,损伤小,术后尿路感染率低,值得临床推广。

The Clinical Effects of Ureteroscopy Lithotripsy Combined with Extracorporeal Shock Wave Lithotripsy Treating Renal Pelvis Calculi

Objective To study the effects of URSL combined with ESWL in patients with renal pelvis calculi.Methods One hundred and twenty patients admitted to Huangmei County Maternal and Child Health Hospital of Hubei Province from April 2009 to March 2012 were randomly divided into the observation group(n = 60) and the control group(n = 60);the observation group were treated with URSL combined with ESWL,and the control group were treated with URSL only,and the clinical effects were contrasted between the two groups.Results The operation time of the observation group was significantly shorter than the control group(P <0.01);the blood loss of the observation group was significantly less than the control group(P <0.01);the stone clear rate(93.3%) of the observation group was significantly higher than the control group(56.7%)(P <0.01);there was no significant difference in postoperative urinary tract infection incidence between the two groups(P > 0.05).Conclusion URSL combined with ESWL has reliable effects in patients with renal pelvis calculi,with less damage and low incidence of urinary tract infection after surgery,which should be widely applied in clinical.