手术治疗输尿管结石引起重度肾积水的效果分析

Effect of surgical treatment of severe hydronephrosis caused by ureteral calculi

目的:分析手术治疗输尿管结石引起重度肾积水的效果。方法:2017年3月-2019年6月收治输尿管结石引起的重度肾积水患者44例,随机分为两组,各22例。观察组接受微创经皮肾镜手术;对照组接受传统输尿管切开取石术。比较两组临床效果。结果:观察组住院时间、手术时间、术中出血量及并发症发生率均显著低于对照组,差异有统计学意义(P<0.05)。结论:微创经皮肾镜手术治疗于输尿管结石引起的重度肾积水,具有较好效果,能够避免并发症的发生,住院时间和手术时间均较短,可降低术中出血量。

Objective:To explore the effect of surgical treatment of severe hydronephrosis caused by ureteral calculi.Methods:From March 2017 to June 2019,44 patients with severe hydronephrosis caused by ureteral calculi were selected and randomly divided into two groups of 22 cases in each.The observation group was treated with minimally invasive percutaneous nephroscopy.The control group was treated with traditional ureterolithotomy.We compared the clinical effects of the two groups.Results:In the observation group,the hospitalization time,operation time,intraoperative hemorrhage and complication rate were significantly lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion:Minimally invasive percutaneous nephroscopy is effective in the treatment of severe hydronephrosis caused by ureteral calculi,it can avoid the occurrence of complications,the hospital stay and operation time are short,and it can reduce the amount of bleeding during operation.