电子输尿管软镜和微创经皮肾镜碎石术治疗肾结石的疗效及安全性比较  

Comparison of Efficacy and Safety between Electronic Ureteroscopy andMinimally Invasive Percutaneous Nephrolithotripsy in the Treatment of RenalCalculi

作　　者：夏宝山 张杰秀[2] XIA Baoshan;ZHANG Jiexiu(Rugao Boai Hospital,Nantong,Jiangsu 226503,China;The First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu 210029,China)

机构地区：[1]如皋博爱医院,江苏南通226503 [2]南京医科大学第一附属医院,江苏南京210029

出　　处：《大医生》2020年第13期7-9,共3页Doctor

摘　　要：目的探讨电子输尿管软镜和微创经皮肾镜碎石术治疗肾结石的疗效及安全性。方法选取2016年1月至2020年1月如皋博爱医院收治的60例肾结石患者作为研究对象。按照随机数字表法分为对照组和观察组,各30例。对照组患者实施微创经皮肾镜碎石术治疗,观察组患者实施电子输尿管软镜碎石术治疗。对比两组患者的手术时间、术中出血量、住院时间,以及结石清除率、术后不良反应发生率。结果观察组患者的手术时间(82.64±6.53)min、术中出血量(86.78±8.69)mL、住院时间(5.42±1.36)d,均少于对照组患者(88.57±6.15)min、(98.42±7.68)mL、(7.86±1.14)d,差异有统计学意义(P<0.05);观察组患者不良反应发生率3.33%,低于对照组20.00%(P<0.05)。观察组患者结石清除率93.33%,高于对照组90.00%,组间比较差异无统计学意义(P>0.05)。结论电子输尿管软镜碎石术治疗肾结石的效果比微创经皮肾镜碎石术的治疗效果好,能有效减少患者的术中出血量和不良反应,能缩短患者的住院时间。Objective To investigate the efficacy and safety of electronic flexible ureteroscopy and minimally invasive percutaneous nephrolithotripsy in the treatment of kidney stones.Methods A total of 60 patients with kidney stones admitted to Rugao Boai Hospital from January 2016 to January 2020 were selected as the study subjects.According to the random number table method,the patients were divided into control group and observation group,with 30 cases each.Patients in the control group were treated with minimally invasive percutaneous nephrolithotripsy,while patients in the observation group were treated with electronic flexible ureteroscopic lithotripsy.The operation time,intraoperative blood loss,length of hospital stay,stone clearance rate and incidence of adverse reactions after operation were compared between the two groups.Results The operation time(82.64±6.53)min,intraoperative bleeding volume(86.78±8.69)mL and hospital stay(5.42±1.36)days of patients in the observation group were less than those in the control group(88.57±6.15)min,(98.42±7.68)mL and(7.86±1.14)days,and the difference was statistically significant(P<0.05).The incidence of adverse reactions was 3.33%in the observation group,which was lower than 20.00%in the control group(P<0.05).The stone clearance rate was 93.33%in the observation group,which was higher than 90.00%in the control group,but there was no significant difference between the groups(P>0.05).Conclusion Electronic flexible ureteroscopic lithotripsy is more effective than minimally invasive percutaneous nephrolithotripsy in the treatment of renal calculi,which can effectively reduce intraoperative bleeding and adverse reactions,and shorten the length of hospital stay.

关 键 词：电子输尿管软镜碎石术 微创经皮肾镜碎石术 肾结石 

分 类 号：R69[医药卫生—泌尿科学]