体外冲击波和经皮肾镜气压弹道对复杂性泌尿系统结石治疗中的应用分析

目的 比较经皮肾镜气压弹道碎石术与体外冲击波碎石术用于治疗复杂性泌尿系统结石的效果.方法 选取复杂性泌尿系统结石患者72例,随机组肾镜组(36例)行经皮肾镜气压弹道碎石术治疗,体外组(36例)行体外冲击波碎石术治疗,比较两组碎石成功、术中出血并发症等情况.结果 肾镜组与体外组一次碎石成功率分别为97.22％与91.67...

Application of Extracorporeal Shock Wave Lithotripsy and PercutaneousNephrolithotomy on Treatment of Complex Urinary Tract Calculi

Objective To compare the clinical effect of percutaneous nephrolithotomy andextracorporeal shock wave lithotripsy on treatment of complex urinary tract calculi. Methods 72 patients withcomplex urinary tract calculi were selected. 36 cases of taking percutaneous nephrolithotomy were included innephroscopy group; 36 cases of taking extracorporeal shock wave lithotripsy were included in extracorporealgroup. One-time success rate, intraoperative bleeding conditions and postoperative complications werecompared. Results One-time success rate in nephroscopy group and extracorporeal group was 97.22% and91.67%, without statistically significant difference (P>0.05); compared with nephroscopy group, intraoperativebleeding rate in extracorporeal group was lower while average operation time and hospital stays were shorter(P<0.05); total effective rate in nephroscopy group (91.67%) was significantly higher than that of extracorporealgroup (72.22%) (P<0.05); urinary system infection, injury and recurrence rate in extracorporeal group wassignificantly lower than that of nephroscopy group (P<0.05). Conclusion Compared with extracorporeal shockwave lithotripsy, percutaneous nephrolithotomy has higher effective rate on treatment of complex urinary tractcalculi, but may increase the postoperative complications and extend the hospital stays.