微创经皮肾镜取石术治疗输尿管上段结石并重度肾积水的临床有效性分析

Clinical Effectiveness of Minimally Invasive Percutaneous Nephrolithotomy in the Treatment of Upper Urinary Tract Calculi Complicated with Severe Hydronephrosis

目的探讨分析微创经皮肾镜取石术治疗输尿管上段结石并重度肾积水的临床有效性。方法选取我院2013年10月至2015年10月收治的输尿管上段结石并重度肾积水患者82例,均分成两组。其中研究组采用微创经皮肾镜取石术,对照组采用传统输尿管切开取石术,比较分析两组的临床疗效。结果研究组的手术时间为(57.46±8.50)min,术中出血量为(90.20±14.64)m L,术后住院时间为(5.70±1.21)d,结石清除率为97.56%,术后并发症发生率为7.32%,均显著优于对照组,组间差异有统计学意义(P<0.05)。结论微创经皮肾镜取石术治疗输尿管上段结石并重度肾积水的临床疗效显著,值得大力推广。

Objective To explore and analyze the clinical effectiveness of minimally invasive percutaneous nephrolithotomy intreatment of upper urinary tract calculi complicated with severe hydronephrosis. Methods 82 cases of patients with upper urinary tractcalculi complicated with severe hydronephrosis from October 2013 to October 2015 were selected and divided into two groups equally. Thestudy group received minimally invasive percutaneous nephrolithotomy, while the control group received traditional ureterolithotomy. Theclinical effectiveness of two groups were analyzed and compared. Results Of the study group, the operation time was （57.46 ± 8.50） min,intraoperative blood loss was （90.20 ± 14.64） mL, hospitalization time was （5.70 ± 1.21） d, stone clearance rate was 97.56% andpostoperative complication rate was 7.32%, all the indicators were significantly better than those of control group, with statistical differences（P 〈0.05）. Conclusions Minimally invasive percutaneous nephrolithotomy has significant clinical effect in treatment of upper urinary tractcalculi complicated with severe hydronephrosis, which is worthy of promotion.