不同手术方式治疗输尿管结石的效果分析

Analysis of the Effect of Different Surgical Methods in the Treatment of Ureteral Calculi

目的观察分析三种不同手术方式治疗输尿管结石的效果。方法选取本院2016年12月~2017年12月收治的210例输尿管结石患者,按照数字随机表法分为A、B、C三组,每组70例。A组应用开放性输尿管切开取石术,B组应用体外冲击波碎石术,C组应用微创经皮肾镜钬激光碎石取石术。采用统计学分析三组输尿管结石患者的一次性成功率、术后结石完全清除率、平均住院时间、平均手术时间以及平均术中出血量、患者总满意率。结果 C组患者的一次性成功率、术后结石完全清除率等临床治疗效果,高于A组、B组,差异有统计学意义(P<0.05),A组患者的平均手术时间、平均住院时间高于C组、B组,差异有统计学意义(P<0.05),B组平均术中出血量少于A组、C组,差异有统计学意义(P<0.05);C组患者的总满意率高于A组、B组,差异有统计学意义(P<0.05)。结论微创经皮肾镜钬激光碎石取石术治疗输尿管结石患者的临床效果显著高于体外冲击波碎石术和开放性输尿管切开取石术。

Objective To observe the effect of three different surgical methods in the treatment of ureteral calculi.Methods A total of 210 patients with ureteral calculi admitted to our hospital from December 2016 to December 2017 were divided into three groups：A, B,and C according to the numerical random table method,70 cases in each group.Group A was treated with open ureterolithotomy, group B was treated with extracorporeal shock wave lithotripsy,and group C was treated with minimally invasive percutaneous nephrolithotomy with holmium laser lithotripsy.The one-time success rate,complete stone removal rate,average hospitalization time, average operation time,average intraoperative blood loss,and total patient satisfaction rate were analyzed by statistical analysis of three groups of patients with ureteral calculi.Results The clinical outcomes of group C patients with one-time success rate and complete postoperative stone removal rate were higher than those in group A and group B,the difference was statistically significant（P〈0.05）.The average operation time and average hospitalization time of patients in group A were higher than those in group C and B,the difference was statistically significant（P〈0.05）.The average intraoperative blood loss in group B was less than that in group A and C.The difference was statistically significant（P〈0.05）;the total satisfaction rate of patients in group C was higher than that in group A and group B,the difference was statistically significant（P〈0.05）.Conclusion The clinical outcome of minimally invasive percutaneous nephrolithotomy with holmium laser lithotripsy in the treatment of ureteral calculi is significantly higher than extracorporeal shock wave lithotripsy and open ureterolithotomy.