微创经皮肾穿刺取石治疗嵌顿性输尿管上段结石的有效性及安全性分析

Analysis of Effectiveness and Safety of Minimally Invasive Percutaneous Nephrolithotomy in Treatment of Impacted Upper Ureterolithiasis

目的探讨微创经皮肾穿刺取石治疗嵌顿性输尿管上段结石的有效性及安全性。方法方便选取48例嵌顿性输尿管上段结石患者为2014年4月—2016年5月该院收治,随机分组,研究组(n=24)应用微创经皮肾穿刺取石手术治疗,对照组(n=24)采取腹腔镜输尿管切开取石术治疗,对比两组疗效。结果研究组患者的结石清除率是95.83%,并发症发生率是8.33%,血红蛋白降低幅度、住院时间分别是(0.16±0.03)g/L、(7.68±1.03)d,均优于对照组的83.33%、33.33%、(0.83±0.24)g/L、(8.93±1.12)d(P<0.05)。结论微创经皮肾穿刺取石治疗嵌顿性输尿管上段结石的有效性及安全性均较高。

Objective To study the effectiveness and safety of minimally invasive percutaneous nephrolithotomy in treatment of impacted upper ureterolithiasis. Methods 48 cases of patients with impacted upper ureterolithiasis admitted and treated in our hospital from April 2014 to May 2016 were convenient selected and randomly divided into two groups with 24 cases in each, the research group were treated with minimally invasive percutaneous nephrolithotomy, while the control group were treated with retroperitoneal laparoscopic ureterolithomy, and the curative effect was compared between the two groups. Results The stone clearance rate, incidence rate of complications, decrease range of hemoglobin and length of stay in the research group were better than those in the control group, [95.83%, 8.33%,（0.16 ±0.03）g/L,（7.68 ±1.03）d vs 83.33%,33.33%,（0.83±0.24）g/L,（8.93±1.12）d]（P〈0.05.05）. Conclusion The effectiveness and safety of minimally invasive percutaneous nephrolithotomy in treatment of impacted upper ureterolithiasis are high.