输尿管镜下碎石取石术与经皮肾镜取石术治疗肾结石的可行性及安全性分析

Feasibility and safety analysis of ureteroscopic lithotripsy and percutaneous nephrolithotomy in the treatment of renal calculi

目的 比较输尿管镜下碎石取石术与经皮肾镜取石术治疗肾结石的临床疗效及安全性。方法 选取本院2013年5月~2015年5月收治的97例肾结石患者作为研究对象,随机分为对照组与观察组。观察组采用输尿管镜下碎石取石术治疗,对照组采用经皮肾镜取石术治疗。比较两组的手术情况、术后并发症发生率及一期结石清除率。结果 观察组的手术持续时间显著短于对照组,术中出血量显著少于对照组,差异有统计学意义（P〈0.05）。观察组的并发症发生率为8.3%,显著低于对照组的24.5%,差异有统计学意义（P〈0.05）。结论 输尿管镜下碎石取石术的并发症发生率较低,安全性高,且手术易操作实施,值得临床推广应用。

Objective To compared the clinical efficacy and safety of ureteroscopic lithotripsy and percutaneous nephrolithotomy in the treatment of renal calculi. Methods 97 patients with renal calculi from May 2015 to May 2013 in our hospital were selected and randomly divided into the control group and the observation group.The observation group was treated with ureteroscopic lithotripsy,the control group was treated with percutaneous nephrolithotomy.The surgery condition,the incidence rate of postoperative complication and the stone clearance rate in the two groups was compared. Results The duration of operation in the observation group was shorter than that in the control group,the in- traoperative blood loss in the observation group was less than that in the control group,with significant difference （P〈 0.05）.The incidence rate of postoperative complication in the observation group was 8.3%,which was lower than 24.5% in the control group,with significant difference （P〈0.05）. Conclusion The incidence rate of complication of percuta- neous lithotripsy is low,safety and easy to operate,it is worthy of clinical promotion and application.