经皮肾镜碎石取石术和输尿管软镜钬激光碎石术治疗肾结石病人的效果研究

目的：研究经皮肾镜碎石取石术和输尿管软镜钬激光碎石术治疗肾结石病人的效果。方法方便选择该院2015年1月—2016年2月收治的肾结石病人80例进行分组回顾分析。输尿管组采取输尿管软镜钬激光碎石术治疗,肾镜组采取经皮肾镜碎石取石术治疗。比较两组患者肾结石一期手术清除率；肾结石取出时间、治疗过程失血量、术后住院观察时间；患者并发症发生率的差异。结果肾镜组相较于输尿管组肾结石一期手术清除率92.5%更高,输尿管组仅为75%,差异有统计学意义,P<0.05；肾镜组相较于输尿管组肾结石取出时间更短、治疗过程失血量更少、术后住院观察时间更短,输尿管组分别为(134.39±12.77)min、(78.39±13.57)mL、(6.61±2.59)d,肾镜组分别为(93.51±10.41)min、(15.51±2.61)mL、(3.62±1.34)d,差异有统计学意义,P<0.05。两组并发症发生率相似,均为7.5%,差异无统计学意义, P>0.05,均无出现严重不良反应。结论经皮肾镜碎石取石术和输尿管软镜钬激光碎石术治疗肾结石病人的效果均较好,有较高的安全性,但相对来说,经皮肾镜碎石取石术手术时间更短且结石取净率更高,术后恢复快,临床可根据患者情况选择合理术式。

Percutaneous Nephroscope Lithotripsy Removed and Soft Ureter Mirror Holmium Laser Lithotripsy for the Treatment of Kidney Stone Patient Study

Objective To study the percutaneous nephroscope lithotripsy removed and soft ureter mirror holmium laser lithotripsy for the treatment of kidney stones in patients. Methods Convenient selection from January 2015 to February 2016 kidney stone patient group 80 cases by retrospective analysis. Ureteral group adopt soft lens holmium laser lithotripsy treat-ment of ureter and renal lens to take for the treatment of percutaneous nephroscope lithotripsy removed. Compare two groups of patients with kidney stones issue of surgical clearance; Take time to kidney stones, blood loss, postoperative hospitaliza-tion time treatment process; Differences in patients with complications. Results Nephrolithotomy group compared with the surgical group renal ureteral stone clearance rate was 92.5% higher, ureter group was 75%,P< 0.05; nephrolithotomy group compared with the group of ureteral renal calculi removed time shorter and shorter hospitalization time to observe the pro-cess of less blood loss, postoperative ureteral group were (134.39±12.77)min,(78.39±13.57)mL,(6.61±2.59)d, nephrolitho-tomy group were (93.51±10.41)min,(15.51±2.61)mL, (3.62±1.34)d,P<0.05. The incidence of complications was similar in the two groups, all of which were 7.5%,P > 0.05, there were no serious adverse reactions. Conclusion Percutaneous nephrolithotomy and ureteroscope holmium laser lithotripsy for renal calculi patients had better effect, high security, but rel-atively speaking, percutaneous nephrolithotomy with shorter operation time and the rate of calculus is higher, faster postop-erative recovery, the clinical reasonable choice operation according to the conditions of patients.