微创经皮肾镜取石术治疗上尿路结石并重度肾积水的疗效探讨

Exploration on the Curative Effect of Minimally Invasive Percutaneous Nephrolithotomy in the Treatment of Upper Urinary Calculi Complicated with Severe Hydronephrosis

目的探讨微创经皮肾镜取石术治疗上尿路结石并重度肾积水的疗效。方法选取我院2014年10月至2016年10月收治的166例上尿路结石并重度肾积水患者166例,随机分为实验组与对照组各83例。实验组行微创经皮肾镜取石术,对照组行传统手术。对比两组患者的临床治疗效果。结果与对照组比较,实验组的结石清除率明显较高,并发症发生率明显较低,差异均有统计学意义(P<0.05)。实验组的术中出血量、手术时间和住院时间均明显少于对照组,差异有统计学意义(P<0.05)。结论采用微创经皮肾镜取石术治疗上尿路结石并重度肾积水,效果显著,能够有效地清除结石,降低并发症发生率,缩短手术时间,减少术中出血量,有利于患者术后恢复,值得临床推广应用。

Objective To explore the curative effect of minimally invasive percutaneous nephrolithotomy in the treatment of upper urinary calculi complicated with severe hydronephrosis. Methods 166 cases of patients with upper urinary calculi complicated with severe hydronephrosis admitted to our hospital from October 2014 to October 2016 were selected and randomly divided into experimental group and control group, with 83 cases in each group. The experimental group received minimally invasive percutaneous nephrolithotomy, while the control group received traditional surgery. The clinical treatment effect was compared between two groups. Results Compared with the control group, the stone removal rate of experimental group was significantly higher, and the incidence of complications was significantly lower, with statistical differences （P 〈0.05）. The intraoperative blood loss, operation time and hospitalization time of experimental group were significantly less than those of control group, with statistical differences （P 〈0.05）. Conclusions Minimally invasive percutaneous nephrolithotomy has significant effect in the treatment of upper urinary calculi complicated with severe hydronephrosis, can effectively remove the stones, lower the incidence of complications, shorten the operation time and reduce the intraoperative blood loss, which is conducive to patients＇ postoperative recovery, and is worthy of clinical promotion and application.