输尿管镜取石术、腹腔镜手术治疗尿结石的疗效分析  

Analysis of the Curative Effect of Ureteroscopic Lithotomy and Laparoscopic Surgery in the Treatment of Urinary Calculi

作　　者：李江 LI Jiang(Department of Urology, Laiwu Hospital of Traditional Chinese Medicine, Laiwu, Shandong Province, 271100 China)

机构地区：[1]莱芜市中医医院泌尿外科

出　　处：《系统医学》2019年第10期60-62,共3页Systems Medicine

摘　　要：目的探讨对尿结石患者分别选择输尿管镜取石术以及腹腔镜手术方法治疗后获得的临床效果。方法选择该院2016年12月—2018年7月收治的130例尿结石患者作为实验对象;数字奇偶法分组后明确各组手术方式;参照组(65例):选择输尿管镜取石术完成治疗;研究组(65例):选择腹腔镜输尿管切口取石术完成治疗;对比治疗效果。结果同参照组尿结石患者手术愈显率(61.54%)、手术总有效率(80.00%)对比,研究组(93.85%、98.46%)均呈现出显著提升(χ^2=19.5732,11.5271P<0.05);参照组出血量为(109.52±12.39)mL,手术时长为(90.26±7.55)min,住院时长为(15.45±2.99)d,导尿管拔除时长为(10.10±1.32)d,研究组出血量为(78.06±8.56)mL,手术时长为(75.62±7.01)min,住院时长为(10.31±1.03)d,导尿管拔除时长为(5.22±0.89)d,同参照组尿结石患者出血量、手术时长、住院时长、导尿管拔除时长对比,研究组均呈现出显著减少,差异有统计学意义(t=16.8425,11.4565,13.1038,24.7132P<0.05)。结论尿结石患者在接受手术治疗期间,腹腔镜手术的有效实施,同输尿管镜取石术比较,对于手术愈显率、手术总有效率提升,出血量、手术时长、住院时长、导尿管拔除时长减少,效果显著,最终对于尿结石患者康复加快,奠定基础。Objective To investigate the clinical effects of ureteroscopic lithotomy and laparoscopic surgery on patients with urinary calculi. Methods A total of 130 patients with urinary calculi admitted and treated in our hospital from December 2016 to July 2018 were selected as experimental subjects. The operation methods of each group were determined by digital parity method. Reference group (65 cases): ureteroscopic lithotomy was selected to complete the treatment;Study group (65 cases): laparoscopic ureteral incision lithotomy was selected to complete the treatment. The therapeutic effect of the two groups was compared. Results The surgical recovery rate (61.54%) and the total effective rate (80.00%) of urinary calculus patients in the control group were significantly improved(93.85%,98.46%)(χ^2=19.573 2, 11.527 1 P<0.05). In the control group, the amount of blood loss was (109.52±12.39) mL, the duration of surgery was (90.26± 7.55) min, the length of hospitalization was (15.45±2.99) d, and the length of catheter extraction was (10.10± 1.32) d. Compared with the control group, the amount of blood loss(78.06±8.56)mL, duration of surgery(75.62±7.01)min, duration of hospitalization(10.31±1.03)d and duration of urethral catheter extraction(5.22±0.89)d in patients with urinary calculi were significantly reduced in the study group (t=16.842 5, 11.456 5, 13.103 8, 24.713 2,P<0.05). Conclusion In the treatment of the patients with urinary calculi surgery, compared with ureteroscopic lithotripsy, the effective implementation of the laparoscopic surgery improves the surgery markedly effective rate and total effective rate, reduces the blood loss, surgical time, hospitalization duration, postoperative catheter length decreases. The effect is remarkable, and the recovery of patients with urinary stones is accelerated, laying the foundation.

关 键 词：输尿管取石术 腹腔镜手术 尿结石 临床疗效 

分 类 号：R699[医药卫生—泌尿科学]