电子输尿管镜与微创经皮肾镜碎石术对肾结石的治疗对比

Electronic ureteroscopy and minimally invasive percutaneous nephrolithotomy for renal calculi treatment contrast

目的 :对比电子输尿管镜与微创经皮肾镜碎石术治疗肾结石的临床疗效。方法 :选取2016年2月～2017年1月收治的126例肾结石患者按随机数字表法分成甲组和乙组,每组各63例。甲组行电子输尿管镜碎石术,乙组行微创经皮肾镜碎石术。对比两组患者的手术情况、结石清除率、并发症发生率及康复时间。结果 :两组手术时间无明显差别;甲组术中出血量明显较乙组少;两组结石清除率及并发症发生率仍无明显差别;甲组首次下地时间、胃肠功能恢复时间及住院时间都明显较乙组短。结论 :电子输尿管镜碎石术与微创经皮肾镜碎石术对肾结石的治疗效果相当,但电子输尿管镜患者术后恢复更快。

Objective To compare the clinical efficacy of electronic ureteroscopy and minimally invasive percutaneous nephrolithotomy in the treatment of renal calculi. Method 126 cases of renal calculi were selected from February 2016-2017 year in January were randomly divided into group A and group B, 63 cases in each group. Group a underwent electronic ureteroscopic lithotripsy, group B underwent minimally invasive percutaneous nephrolithotomy surgery. The two groups were compared, the stone clearance rate, rate of recovery time and complications. Result There is no significant difference between two groups in operation time; the amount of bleeding during operation was significantly higher than group A and group B less; two groups of stone clearance rate and complication rate were no significant difference; the first time, gastrointestinal function recovery time and hospitalization time were significantly compared with group B short. Conclusion Electronic ureteroscopic lithotripsy and minimally invasive percutaneous nephrolithotomy for renal calculi are comparable, but electronic ureteroscopy is quicker to recover.