输尿管上段结石并发轻度肾积水治疗对比分析

Comparative analysis of the treatments of upper ureteral calculi complicated with mild hydronephrosis

目的对比分析微创经皮肾镜治疗和经输尿管镜取石术对输尿管上段结石并发轻度肾积水的临床疗效。方法将68例输尿管上段结石并发轻度肾积水患者根据治疗方案不同分为观察组与对照组,观察组34例行微创经皮肾镜治疗,对照组34例行经输尿管镜取石术。比较两组术后清石率、手术时间、住院时间及术中出血量。结果观察组结石清除率高于对照组(P<0.05);观察组手术时间及住院时间短于对照组、术中出血量少于对照组(P<0.05)。结论微创经皮肾镜手术治疗输尿管上段结石并发轻度肾积水,结石清除率高。

Objective To compare and analyze the clinical efficacy of minimally invasive percutaneous nephroscopy and transureteroscopic lithotomy in upper ureteral calculi complicated with mild hydronephrosis.Methods 68 patients with upper ureteral calculi complicated with mild hydronephrosis were divided into the observation group and the control group according to different treatment options,34 cases in each group.The observation group received minimally invasive percutaneous nephroscope treatment,and the control group received transureteroscopic lithotomy.The postoperative stone removal rate,operation time,hospitalization time and intraoperative blood loss were compared between the two groups.Results The stone clearance rate of the observation group was higher than that of the control group(P<0.05);the operation time and hospitalization time of the observation group were shorter than those of the control group,and the blood loss during operation was less than that of the control group(P<0.05).Conclusion Minimally invasive percutaneous nephroscope surgery has high stone clearance rate in the treatment of upper ureteral calculi complicated with mild hydronephrosis.