无创纤维软镜取石术与经皮肾镜钬激光碎石术治疗肾结石效果对比研究

Comparative study on the effect of non-invasive fiberglass microscopy and percutaneous nephrolithotripsy in the treatment of renal calculi

目的研究无创纤维软镜取石术与经皮肾镜钬激光碎石术在治疗肾结石的治疗效果。方法随机筛选自我院治疗的肾结石患者60例,采用随机方法将患者分为无创组和肾镜组组,每组患者均为30例。分析对两组手术患者术后结石清除程度、手术时间以及住院时间、治疗过程失血量和并发症发生率等对比差异性。结果无创组相比于肾镜组术后结石清除程度更高P<0.05;无创组相比于肾镜组在手术时间、住院时间以及治疗过程失血量效果更好,P<0.05。两组在术后并发症发生率比较中无创组显著低于肾镜组,差异具有统计学意义,P<0.05,均无出现严重不良反应。结论无创纤维软镜取石术无论是在术后结石清除程度还是术中对患者的组织创伤以及术后并发症的发病率上无创纤维软镜取石术在治疗肾结石都具有明显的优势,具有安全可靠,手术迅速是值得推广的治疗手段。

Objective To study the therapeutic effect of non-invasive fibroscopy and percutaneous nephrolithotripsy in the treatment of renal calculi. Methods 60 patients with renal calculi were randomly selected for treatment of self-treated patients. Randomized methods were used to divide the patients into groups of unwound and renal microscopy,with 30 cases in each group. The results showed that the degree of removal,the time of operation and the time of hospitalization,the amount of blood loss and the incidence of complications were analyzed. Results The degree of calculi removal was higher than P〈0. 05 compared with the renal mirror group. Compared with the nephroscopic group,there was a better difference in operation time,length of hospital and blood loss in the treatment process,and the difference was statistically significant,P〈0. 05. There was no significant difference between the two groups in the incidence of postoperative complications,but the difference was statistically significant,with P〈0. 05 without serious adverse reactions. Conclusion Noninvasive fibre soft lens lithotomy in both degree of postoperative stone removal and intraoperative tissue trauma and the incidence of postoperative complications of the patients with noninvasive fiber on soft lens lithotomy surgery in the treatment of kidney stones have obvious advantages,have a safe and reliable,surgical treatments quickly isworth extending.