肾造瘘结合输尿管镜下碎石治疗并发肾感染的输尿管结石临床效果评价

Evaluation of Clinical Effect of Nephrostomy and Holmium Yag Laser Lithotripsy by Ureteroscope in Treatment of Ureteral Calculi and Renal Infection

目的评价在并发肾感染的输尿管结石治疗中实行肾造瘘结合输尿管镜下碎石治疗的临床疗效。方法依据手术方式的不同将方便选取该院在2012年1月—2016年1月期间收治的66例发肾感染输尿管结石患者分为两组,即实验组与参照组,参照组患者实行予开放术式输尿管取石治疗,实验组患者实行肾造瘘结合输尿管镜下碎石治疗,对比分析两组患者住院时间、手术时间以及术中出血量。结果实验组患者住院时间(7.04±1.24)d、手术时间(62.38±3.87)min、出血量(38.27±5.31)mL等指标均显著优于参照组住院时间(11.35±1.14)d、手术时间(48.37±2.65)min、出血量(56.38±4.35)mL,差异有统计学意义(P<0.05)。结论在治疗并发肾感染的输尿管结石过程中应用肾造瘘结合输尿管镜下碎石治疗具有效果好、恢复快、创伤小等优势,值得临床研究中进一步应用与推广。

Objective To evaluate the clinical effect of nephrostomy and holmium yag laser lithotripsy by ureteroscope in treatment of ureteral calculi and renal infection. Methods 66 cases of patients with ureteral calculi and renal infection admitted and treated in our hospital from January 2012 to January 2016 were conveniently selected according to different operation methods and divided into two groups, the control group were treated with open method for removal of ureteral calculus, while the experimental group were treated with nephrostomy and holmium yag laser lithotripsy by ureteroscope, and the length of stay, operation time and intraoperative bleeding amount were compared between the two groups. Results The length of stay, operation time and bleeding amount in the experimental group were obviously better than those in the control group[（7.04±1.24）d,（62.38±3.87）min,（38.27±5.31）mL vs（11.35±1.14）d,（48.37±2.65）min,（56.38±4.35）mL]（P〈0.05）,and the differences were obvious with statistical significance. Conclusion The application effect of nephrostomy and holmium yag laser lithotripsy by ureteroscope in treatment of ureteral calculi and renal infection is good with rapid recovery and small trauma, which is worth further application and promotion in clinical research.