输尿管软镜碎石术和经皮肾镜碎石术治疗肾结石患者的疗效观察

Clinical Observation of Flexible Ureteroscope Lithotripsy and Percutaneous Nephrolithotomy in the Treatment of Patients with Kidney Stones

目的:分析输尿管软镜碎石术和经皮肾镜碎石术治疗肾结石患者的疗效。方法:回顾性分析2018年1月~2020年7月期间某院收治的112例肾结石患者,将运用输尿管软镜碎石术治疗的56例患者列为对照组,将运用经皮肾镜碎石术治疗的56例患者列为观察组,比较两组手术临床指标、并发症情况。结果:观察组的手术时间、碎石时间、住院时间短于对照组(P<0.05),且术中出血量明显少于对照组(P<0.05);术后,观察组的并发症发生率低于对照组(P<0.05);观察组的结石清除率高于对照组(P<0.05)。结论:与输尿管软镜碎石术相比,经皮肾镜碎石术治疗肾结石患者疗效更为显著,且术中出血少,碎石率高,并发症发生率低。

Objective:To analyze the curative effect of flexible ureteroscope lithotripsy and percutaneous nephrolithotomy in the treatment of patients with kidney stones.Methods:A retrospective analysis of 112 patients with kidney stones admitted to a hospital from January 2018 to July 2020 was conducted.56 patients treated with flexible ureteroscope lithotripsy were included as the control group,and 56 patients treated with percutaneous nephrolithotomy were classified as observation group,then the clinical indicators and complications of the two groups were compared.Results:The operation time,lithotripsy time and hospital stay of the observation group were shorter than those of the control group(P<0.05),and the intraoperative blood loss was significantly less than that of the control group(P<0.05).The incidence of complications of observation group after surgery was lower than that of control group(P<0.05).The stone clearance rate in the observation group was higher than that in the control group(P<0.05).Conclusion:Compared with flexible ureteroscope lithotripsy,percutaneous nephrolithotomy is more effective in the treatment of renal calculi,with less intraoperative bleeding,high lithotripsy rate,and low complication rate.