不同微创术式治疗输尿管结石的临床效果

Clinical effects of different minimally invasive surgical methods in the treatment of ureteral calculi

目的探讨不同微创术式治疗输尿管结石的临床效果。方法选取我院于2017年2月至2017年10月收治的90例输尿管结石患者为研究对象,采用随机数字表法将其分为对照组与观察组,各45例。对照组患者行经尿道输尿管镜激光碎石术,观察组患者行后腹腔镜输尿管切开取石术。比较两组患者的治疗效果。结果观察组患者手术时间与住院时间长于对照组,但手术成功率与结石清除率明显高于对照组(P<0.05);术后6个月,观察组患者的并发症总发生率为2.22%,对照组患者的并发症总发生率为17.78%,观察组明显低于对照组(P<0.05);术后3个月,观察组患者心理功能、躯体功能、社会功能及物质生活状态评分均高于对照组(P<0.05)。结论后腹腔镜输尿管切开取石术治疗输尿管结石效果更好,术后发生并发症的风险更低,有利于改善患者术后生活质量,具有较好的临床效益,建议推广应用。

Objective To investigate the clinical effects of different minimally invasive surgical methods in the treatment of ureteral calculi. Methods Ninety patients with ureteral calculi admitted in our hospital from February 2017 to October 2017 were selected as the study objects and divided into control group and observation group according to the random number table method, with 45 cases in each group. The patients in the control group underwent ureteroscopic laser lithotripsyand, the patients in the observation group underwent retroperitoneal laparoscopic ureterolithotomy. The treatment effects were compared between the two groups. Results The operation time and hospitalization time in the observation group were longer than those in the control group, but the success rate of operation and stone clearance rate in the observation group were significantly higher than those in the control group (P<0.05);at six months after operation, the total incidence of complications was 2.22% in the observation group and 17.78% in the control group, the total incidence of complications in the observation group was significantly lower than that in the control group (P<0.05);at three months after operation, the scores of physiological function, physical function, social function and material life status in the observation group were higher than those in the control group (P<0.05). Conclusion Retroperitoneal laparoscopic ureterolithotomy is more effective in the treatment of ureteral calculi, and with lower risk of complications. It is helpful to improve the quality of life of patients after operation, and has better clinical benefits, which is recommended to popularize and apply.