输尿管软镜与经皮肾镜治疗肾结石的疗效比较
郭恒辉;陈国伟;袁莉敏
【期刊名称】《新疆医学》 【年(卷),期】2015(045)011
【摘要】Objective The purpose of the clinical control study of kidney stones therapeutic effect and clinical application value in the ureter soft lens surgery and percutaneous nephrolithotomy surgery. Methods My Hospital randomness extraction method between December 2013 to January 2015 were treated 72 cases of kidney stones urology patients for the study, according to the study protocol underwent surgery flexible ureteroscope, percutaneous nephrolithotomy surgery, control analysis of two surgical options stone clearance rate after surgery, operative time, blood loss, such as observed. Results The results flexible ureteroscope group<20mm stone stone clearance rate was 90%,>20 mm
stone
stone
clearance
rate
was
82.61%;percutaneous
nephrolithotomy group<20mm stone stone clearance rate was 83.33%,>20 mm stone stone clearance rate to 96.30%;between-group blood loss, operative time was significantly difference. Conclusion proven through clinical practice, if the kidney ureter diameter ≤20mm apply to soft lens surgery, kidney stone clearance if diameter>20mm are more suitable for percutaneous nephrolithotomy surgery, preoperative indications based on rational choice of surgical approach, can improve
rate, safety.%目的 临床对照分析肾结石治疗中输尿管软镜手术与经皮肾镜手术的清石率及临床推广应用价值.方法 随机性抽取我院2014年7月至2015年1月间泌尿外科收治的72例肾结石患者为研究对象,根据研究方案分别行输尿管软镜手术、经皮肾镜手术,对照分析两种手术方案术后的清石率、手术时间、出血量等观察指标.结果 输尿管软镜组中<20mm结石清石率为90%,>20 mm结石清石率为82.61%;经皮肾镜组中<20mm结石清石率为83.33%,>20 mm结石清石率为96.30%;组间术中出血量、手术时间均有明显差异性.结论 经过临床实践证实,若肾结石直径≤20mm则适用于输尿管软镜手术,若肾结石直径>20mm则比较适合经皮肾镜手术,术前根据适应症合理选择手术方式,可提高手术清石率、安全性. 【总页数】3页(1622-1624)
【关键词】肾结石;输尿管软镜术;经皮肾镜术;清石率 【作者】郭恒辉;陈国伟;袁莉敏
【作者单位】新疆生产建设兵团第二师库尔勒医院泌尿外科,新疆,库尔勒 841000;新疆生产建设兵团第二师库尔勒医院泌尿外科,新疆,库尔勒 841000;新疆生产建设兵团第二师库尔勒医院泌尿外科,新疆,库尔勒 841000 【正文语种】中文 【中图分类】R692.4 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_xinjiang-medical-journal_thesis/0201250990430.html 【相关文献】
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输尿管软镜与经皮肾镜治疗肾结石的疗效比较
