超微经皮肾镜与输尿管软镜对直径2~3 cm、高CT值肾结石的治疗价值比较

Comparison of super-mini percutaneous nephroscopy and ureteral soft endoscopy in the treatment of renal calculi with high CT value and diameter of 2-3 cm

目的探讨超微经皮肾镜、输尿管软镜应用于直径2~3cm、高CT值肾结石患者的临床治疗价值.方法选取郑州大学附属洛阳中心医院2018年1月至10月50例肾结石患者,随机数字表法分为两组,每组25例.研究组肾结石患者行超微经皮肾镜手术治疗,对照组肾结石患者行输尿管软镜手术治疗.结果研究组手术时间、术后住院时间均少于对照组,研究组结石清除率(100.00%)高于对照组(80.00%,P<0.05);研究组术后不良反应发生率(12.00%)低于对照组(36.00%,P<0.05).结论利用超微经皮肾镜治疗直径2~3cm、高CT值肾结石患者有效性及安全性均较优.

Objective To investigate the clinical value of ultramicro-percutaneous nephroscopy and flexible ureteroscope in the treatment of kidney stones with diameter of 2-3 cm and high CT value. Methods A total of 50 cases of renal calculi from January 2018 to October 2018 in Luoyang Central Hospital Affiliated to Zhengzhou University were selected and divided into two groups, with 25 cases in each group. The patients with renal calculi in the study group were treated with super-mini percutaneous nephroscopy and the patients with renal calculi in the control group were treated with ureteroscopic surgery. Results The operation time and postoperative hospitalization time in the study group were significantly shorter than those in the control group. The stone clearance rate in the study group (100. 00%) was higher than that in the control group ( 80. 00%, P < 0. 05 ). The incidence of postoperative adverse reactions in the study group ( 12. 00%) was lower than that in the control group (36. 0%, P <0. 05). Conclusions Ultrasound percutaneous nephroscopy is effective and safe in the treatment of kidney stones with diameter of 2-3 cm and high CT value.