输尿管软镜与经皮肾镜碎石术治疗肾结石的效果  

The effect of flexible ureteroscopy and percutaneous nephrolithotripsy in the treatment of kidney stones

作　　者：代鹏 DAI Peng(General Urology Department,Zaozhuang City Yicheng District People's Hospital,Zaozhuang Shandong Province 277300,China)

机构地区：[1]枣庄市峰城区人民医院普外泌尿外科,山东枣庄277300

出　　处：《中国城乡企业卫生》2025年第3期148-150,共3页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的 分析输尿管软镜与经皮肾镜碎石术在肾结石治疗中的应用效果,为肾结石患者选择更佳的手术方式提供参考。方法 选取2020年9月-2023年9月枣庄市峄城区人民医院74例肾结石患者,采取随机数字表法分为对照组和观察组各37例。对照组行经皮肾镜碎石术,观察组行输尿管软镜碎石术。比较两组结石清除率、临床指标和并发症发生率。结果 观察组直径≥2 cm结石一次性清除率高于对照组,差异有统计学意义(P<0.05)。观察组手术时间、住院时间短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为5.41%,低于对照组的24.32%,差异有统计学意义(χ^(2)=5.232,P<0.05)。结论 肾结石在临床治疗过程中,可根据患者实际病情对治疗方法合理选择,对于结石直径≥2 cm患者,输尿管软镜碎石术效果更佳,且创伤小、安全性高,可降低患者术后并发症发生率,值得临床推广应用。Objective To analyze the application effect of flexible ureteroscope and percutaneous nephrolithotripsy in the treatment of kidney stones,so as to provide reference for patients with kidney stones to choose a better surgical method.Methods From September 2020 to September 2023,74 patients with kidney stones in Zaozhuang City Yicheng District People's Hospital were selected and divided into control group and observation group by random number table method,with 37 cases in each group.The control group underwent percutaneous nephrolithotripsy,and the observation group underwent flexible ureteroscope lithotripsy.The stone clearance rate,clinical indicators and the incidence of complications were compared between the two groups.Results The one-time clearance rate of stones with diameter≥2 cm in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The operation time and hospitalization time of the observation group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.41%,which was lower than 24.32%in the control group,and the difference was statistically significant(x^(2)=5.232,P<0.05).Conclusion In the clinical treatment of kidney stones,the treatment method could be reasonably selected according to the actual condition of the patients.For patients with stone diameter≥2 cm,flexible ureteral lithotripsy had better effect,less trauma,high safety,which could reduce the incidence of postoperative complications and was worthy of clinical promotion and application.

关 键 词：肾结石 经皮肾镜碎石术 输尿管软镜碎石术 

分 类 号：R692.4[医药卫生—泌尿科学]