复杂性输尿管上段结石治疗中经皮肾镜与输尿管镜的应用效果

Application effect of percutaneous nephrolithotomy and ureteroscopy in the treatment of complicated upper ureteral calculi

目的研究复杂性输尿管上段结石治疗中经皮肾镜与输尿管镜的应用效果。方法选取82例复杂性输尿管上段结石患者,根据治疗方法分为对照组(41例)与研究组(41例)。对照组选用经皮肾镜,研究组选用输尿管镜。比较两组患者的手术效果。结果与对照组比较,研究组住院时间更短,术中出血量更少,手术时间更长,治疗总有效率更高(P<0.05)。两组患者治疗后并发症总发生率无显著差异(P>0.05)。结论复杂性输尿管上段结石治疗中输尿管镜的应用效果优于经皮肾镜,可缩短患者住院时间,减少术中出血量,提升结石清除率,且安全性高,值得推广应用。

Objective To study the application effect of percutaneous nephrolithotomy and ureteroscopy in the treatment of complicated upper ureteral calculi.Methods A total of 82 patients with complicated upper ureteral calculi were selected and divided into control group（41 cases） and study group（41 cases） according to the treatment methods. The control group used percutaneous nephroscope, while the study group used ureteroscopy. The operative effects of patients were compared between the two groups.Results Compared with the control group, the study group had shorter hospital stay, less bleeding in operation, longer operation time, higher total efficiency（P〈0.05）. There was no difference in the total incidences of complications after treatment between the two groups（P〈0.05）.Conclusion The ureteroscopy in the treatment of complicated upper ureteral calculi has better application effect than percutaneous nephrolithotomy, which can shorten hospital time, reduce intraoperative blood loss, enhance the calculi clearance rate, with high security. It is worthy of popularization and application.