输尿管镜下碎石术与传统碎石术治疗输尿管结石的临床效果比较

Clinical effect comparison of ureteroscopic lithotripsy and traditional lithotripsy in the treatment of ureteral calculi

目的比较输尿管镜下碎石术与传统碎石术治疗输尿管结石的临床效果。方法选取邛崃市医疗中心医院2014年12月—2016年10月收治的输尿管结石患者170例。根据不同手术方式分为镜下治疗组与传统治疗组,各85例。镜下治疗组予以输尿管镜下钬激光碎石术,传统治疗组予以开放式碎石术,比较两组患者临床疗效(住院时间、术中出血量、碎石时间、引流管拔除时间、碎石排净率)、并发症(术后感染、血尿、输尿管穿孔)发生情况及满意度。结果镜下治疗组患者住院时间、碎石时间、引流管拔除时间短于传统治疗组,术中出血量少于传统治疗组、排净率高于传统治疗组(P<0.05)。镜下治疗组并发症发生率低于传统治疗组,总满意度高于传统治疗组(P<0.05)。结论较传统碎石术,输尿管镜下碎石术治疗输尿管结石的临床疗效确切,且治疗时间短、术中出血量少、并发症少、患者满意度高。

Objective To compare the clinical effect of ureteroscopic lithotripsy and traditional lithotripsy in the treatment of ureteral calculi. Methods A total of 170 cases of ureteral calculi patients were selected from December 2014 to October2016 in the Medical Center Hospital of Qionglai,which were divided into microscopic treatment group and traditional treatment group according to different operation methods,85 cases in each group. Microscopic treatment group was treated with ureteroscopic lithotripsy,traditional treatment group was treated with open lithotripsy. The clinical effect（ hospital stays, intraoperatve blood soss,gravel time,drainage tube extraction time,gravel net rate）,complications and patients＇ satisfaction were compared between the two groups. Results The microscopic treatment group of hospital stays,gravel time,drainage tube extraction time were shorter than traditional treatment group,intraoperatve blood loss was less than traditional treatment group,gravel net rate was higher than traditional treatment group（ P〈0. 05）. The microscopic treatment group of the rate of complications was lower than traditional treatment group（ P〈0. 05）,the total satisfaction was higher than traditional treatment group（ P〈0. 05）.Conclusion Ureteroscopic lithotripsy has a better effect in the treatment of ureteral calculi than traditional lithotripsy,it has a shorter hospital stays,less blood loss,lower complications rate and higher patients＇ satisfaction.