斜仰卧截石位经皮肾镜联合输尿管镜治疗复杂肾输尿管结石的效果观察  

Observation on the effect of percutaneous nephroscopy combined with ureteroscope in the treatment of complex renal and ureteral calculi in oblique supine lithotomy position

作　　者：赵读泽[1] ZHAO Du-ze(th Hospital of the People’s Liberation Army,Jiangsu suzhou 215000,China)

机构地区：[1]中国人民解放军第100医院

出　　处：《临床医药文献电子杂志》2019年第76期4-5,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的分析比较斜仰卧截石位经皮肾镜联合输尿管镜治疗复杂肾输尿管结石的临床效果。方法随机选取我院收治的60例复杂肾输尿管结石患者,分为观察组和对照组,观察组30例,对照组30例,对两组患者手术基本情况、临床治疗效果和并发症进行比较。结果观察组患者用的手术时间、下地活动时间、术后住院的时间均比对照组患者用的时间少,手术中的出血量比对照组少,并发症的发生率明显低于对照组患者,两组比较,差异有统计学意义(P<0.05)。结论治疗复杂肾输尿管结石,斜仰卧截石位经皮肾镜联合输尿管镜治疗在手术时间、结石清除率、创伤及恢复、并发症发生率等临床效果均好于开放手术,值得临床应用推广。Objective To analyze and compare the clinical effects of percutaneous nephroscopy combined with ureteroscope in the treatment of complex renal and ureteral calculi in oblique supine lithotomy position.Methods 60 patients with complex renal and ureteral calculi were randomly selected and divided into observation group and control group,30 cases in observation group and 30 cases in control group.Results The operation time,ambulation time and hospitalization time of the patients in the observation group were less than those in the control group.The amount of bleeding in the operation was less than that in the control group,and the incidence of complications was lower than that in the control group. There was significant difference between the two groups(P<0.05).CONCLUSION Percutaneous nephroscopy combined with ureteroscope in supine lithotomy is better than open surgery in treating complex renal and ureteral calculi in terms of operation time, stone clearance rate, trauma and recovery, and incidence of complications.

关 键 词：复杂肾输尿管结石 斜仰卧截石位 经皮肾镜 输尿管镜 

分 类 号：R693[医药卫生—泌尿科学]