微创经皮肾镜取石术治疗上尿路结石合并感染的临床分析

Clinical Analysis of Minimally Invasive Percutaneous Nephrolithotomy in the Treatment of Upper Urinary Calculi with Infection

目的:探讨微创经皮肾镜取石术对于上尿路结石合并感染的临床治疗效果。方法:选取2015年1月~2017年1月前来某院就诊并进行手术的78例上尿路结石合并感染的患者作为研究对象,并按照随机数字表的方法将上述患者平均分成A、B两组,每组为39例。其中,A组采取传统的输尿管切开取石手术,B组采取微创经皮肾镜取石手术,对比两组患者的治疗效果。结果:B组患者的手术时间、术中出血量、住院时间、并发症发生率相较于A组均明显更低,存在显著差异,具有可比性(P<0.05)。结论:微创经皮肾镜取石术对于上尿路结石合并感染具有创伤性小、安全性高的特点,值得在临床治疗中大力推广和应用。

Objective： To investigate the clinical effect of minimally invasive percutaneous nephrolithotomy on upper urinary tract calculi infection. Methods： A total of 78 patients with upper urinary calculi were enrolled in a hospital from January 2015 to January 2017, and the patients were divided into A and B according to the method of random number table, each group of 39 cases. Among them, group A was treated with traditional ureterolithotomy and group B was treated with minimally invasive percutaneous nephrolithotomy. The treatment effect was compared between two groups. Results： The operation time, intraoperative blood loss, hospitalization time and complication rate of group B were significantly lower than those of group A, and there was significant difference （P〈0.05）. Conclusion： Minimally invasive percutaneous nephrolithotomy has the characteristics of less trauma and high safety for upper urinary tract calculi infection, and it is worthy to be popularized and applied in clinical treatment.