肾结石合并输尿管结石患者微创伤治疗方案的临床疗效

Clinical Efficacy of Microtrauma Treatment for Patients with Kidney Stones Complicated with Ureteral Calculi

目的研讨不同微创伤治疗方案在肾结石合并输尿管结石患者中的应用效果。方法选择我院2018年3月至2019年3月收治的80例肾结石合并输尿管结石患者做研究分析,并以随机数表模式分组,A组(n=40)接受标准通道经皮肾镜碎石术(PCNL)处理,B组(n=40)接受微通道PCNL处理,对两组微创伤治疗方案的应用效果进行观察与比较。结果A、B组的结石清除率比较相近,P>0.05,无统计学意义;但手术时间、术中出血相比,B组较A组明显缩短或减少,P<0.05,有统计学意义。B组术后出现发热、尿外渗等并发症的总概率为5.0%,较A组的术后并发症率(20.0%)明显降低,P<0.05,有统计学意义。结论对肾结石合并输尿管结石患者实施微通道PCNL处理,手术效果较标准通道PCNL理想,且安全性较有保障,值得推荐。

Objective To investigate the application effect of different microtrauma treatments in patients with kidney stones complicated with ureteral calculi.Methods Eighty patients with renal calculi combined with ureteral calculi admitted to our hospital from March 2018 to March 2019 were enrolled in the study.They were grouped by random number table.Group A(n=40)received standard channel percutaneous nephrolithotomy(PCNL)treatment,and group B(n=40)received microchannel PCNL treatment.The application effect of two groups of minimally invasive treatment was observed and compared.Results The clearance rates of stones in group A and group B were similar,P>0.05,no statistical significance.However,compared with group A,the time of surgery and intraoperative bleeding was significantly shorter or decreased than that of group A,P<0.05,statistically significant.The total probability of postoperative complications in group B was 5.0%,which was significantly lower than that in group A(20.0%)(P<0.05),which was statistically significant.Conclusion Micro-channel PCNL treatment is performed on patients with renal calculi combined with ureteral calculi.The surgical effect is better than the standard channel PCNL,and the safety is more secure,it is recommended.