输尿管软镜钬激光碎石和经皮肾碎石术对单发肾盂结石的临床研究

Clinical Study of Flexible Ureteroscope Holmium Laser Lithotripsy and Percutaneous Nephrolithotripsy for Single Renal Pelvis Stone

目的:探究输尿管软镜钬激光碎石和经皮肾碎石术对单发肾盂结石的临床疗效。方法:选择2017年3月-2019年3月笔者所在医院收治的单发肾盂结石患者200例,按照随机数字表法将其分为对照组和观察组,每组100例。对照组给予输尿管软镜钬激光碎石术,观察组应用经皮肾碎石术,比较两组结石清除率、手术指标、术后并发症发生情况。结果:观察组结石清除率为90.00%,对照组结石清除率为88.00%,两组比较差异无统计学意义(P>0.05)。观察组手术用时较对照组短,对照组术中出血量较观察组少,差异均有统计学意义(P<0.05)。对照组住院时间较观察组短,差异有统计学的意义(P<0.05)。观察组并发症发生率为5.00%,对照组并发症发生率为3.00%,两组比较差异无统计学意义(P>0.05)。结论:在单发肾盂结石的治疗中可以应用输尿管软镜钬激光碎石和经皮肾碎石术,经皮肾碎石术手术用时短,输尿管软镜钬激光碎石术出血少、恢复快,两种碎石术均应用安全,临床中可根据患者的具体病情针对性地选择治疗方案。

Objective:To explore the clinical effect of flexible ureteroscope holmium laser lithotripsy and percutaneous nephrolithotripsy on single renal pelvis stone.Method:A total of 200 patients with single renal pelvis stone admitted in our hospital from March 2017 to March 2019 were selected and divided into the control group and the observation group according to the random number table method,with 100 patients in each group.The control group was treated with flexible ureteroscope holmium laser lithotripsy.The observation group was treated with percutaneous nephrolithotripsy.The stone clearance rate,surgical index and postoperative complications were compared between the two groups.Result:The stone clearance rate of the observation group was 90.00%,and that of the control group was 88.00%,the difference between the two groups was not statistically significant(P>0.05).The operation time of the observation group was shorter than that of the control group,and the bleeding volume of the control group was less than that of the observation group,the differences were statistically significant(P<0.05).The hospitalization time of the control group was shorter than that of the observation group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 5.00%,and 3.00%in the control group,there was no statistically significant difference(P>0.05).Conclusion:In the treatment of single renal pelvis stone,flexible ureteroscope holmium laser lithotripsy and percutaneous nephrolithotripsy can be used.Percutaneous nephrolithotripsy has a short operation time,while the flexible ureteroscope holmium laser lithotripsy has less bleeding and faster recovery.Both kinds of lithotripsy are safe to use.In clinic,the treatment plan can be selected according to the specific condition of the patient.