经皮肾镜和输尿管软镜钬激光碎石术治疗肾结石的疗效

Efficacy of Percutaneous Nephrolithotomy and Holmium: YAG Laser Lithotripsy for the Treatment of Renal Calculi

目的比较经皮肾镜碎石取石术与输尿管软镜钬激光碎石术治疗肾结石的临床疗效,为临床提供安全有效的治疗方式。方法选取我院2015年3月—2017年3月收治的结石患者作为研究对象,将其随机分为输尿管组和肾镜组,每组各60例。输尿管组给予输尿管软镜钬激光碎石术治疗,肾镜组给予经皮肾镜钬激光碎石取石术治疗。结果肾镜组1期和2期结石清除率均高于输尿管组,差异具有统计学意义(P<0.05);肾镜组手术时间均低于输尿管组,差异具有统计学意义(P<0.05);肾镜组术中出血量高于输尿管组,差异具有统计学意义(P<0.05);两组患者术后并发症发生率比较,差异无统计学意义(P>0.05)。结论临床对于肾结石的术式选择方面,应根据患者的具体情况进行综合考虑,严格遵循手术适应证,以提高结石清除率,减少手术创伤。

Objective To compare the clinical efficacy of percutaneous nephrolithotomy and holmium laser lithotripsy for the treatment of renal calculi, so as to provide a safe and effective treatment for the clinical. Methods The gallstone patients who were treated in our hospital from March 2015 to March 2017 were selected as the study objects, they were randomly divided into the ureter group and the kidney mirror group, 60 cases in each group. The ureter group was treated with ureteroscopic holmium laser lithotripsy, the renal mirror group was treated with percutaneous nephrolithotomy with holmium laser lithotripsy. Results The rate of stone clearance in the 1 and 2 stage of the renal mirror group was higher than that of the ureter group, the difference was statistically significant （P 〈 0.05）; The operation time of the renal mirror group was lower than that of the ureter group, the difference was statistically significant （P 〈 0.05）; The intraoperative blood output of the renal mirror group was higher than that of the ureter group, the difference was statistically significant （P 〈 0.05）; The incidence of postoperative complications in the two groups was not statistically significant （P 〉 0.05）. Conelusion The choice of surgical procedures for renal calculi should be based on the specific circumstances of the patient and strictly follow the surgical indications so as to improve the stone clearance rate and reduce the surgical trauma.