经皮肾镜与输尿管镜治疗上尿路结石的效果比较(1)
[摘要] 目的 探讨经皮肾镜与输尿管镜在治疗上尿路结石中的临床疗效。 方法 将2015年2月～2018年2月在本院接受上尿路结石治疗的278例患者作为研究对象，依据手术方法的不同，分为两组，其中146例患者采用经皮肾镜治疗上尿路結石，作为观察组;132例患者采用输尿管镜治疗上尿路结石，作为对照组，对两组患者的结石清除率及手术时间、术后疗效等进行比较。 结果 观察组结石清除率明显高于对照组，差异有统计学意义(P<0.05)，手术时间、住院时间等指标比较，观察组短于对照组，组间差异有统计学意义(P<0.05);观察组患者并发症发生率低于对照组，差异有统计学意义(P<0.05)。 结论 治疗上尿路结石采用经皮肾镜与输尿管镜的治疗方式，均能取得较为理想的效果，但是采用经皮肾镜的治疗效果明显优于输尿管镜，并且经皮肾镜的患者体验更好，手术时间、住院时间等指标均优于采用输尿管镜，因此，经皮肾镜在治疗上尿路结石中有更高的应用价值，值得推广。
[关键词] 上尿路结石;皮肾镜;输尿管镜;碎石方法
[中图分类号] R693.4 [文献标识码] B [文章编号] 1673-9701(2019)36-0052-04
Comparison of effect of percutaneous nephrolithotomy and ureteroscopy in the treatment of upper urinary tract calculi
CHEN Zhongming ZHANG Liang LIU Meibao
Department of Urology Surgery， Fuzhou Second Hospital Affiliated to Xiamen University， Fuzhou 350007， China
[Abstract] Objective To investigate and compare the clinical efficacy of percutaneous nephrolithotomy and ureteroscopy in the treatment of upper urinary tract calculi. Methods A total of 278 patients who received upper urinary tract calculi treatment in our hospital from February 2015 to February 2018 were selected as the study subjects， and divided into two groups according to different surgical methods. The 146 patients who were treated with percutaneous nephrolithotomy for upper urinary tract calculi were set as the observation group， and the 132 patients who were treated with ureteroscopy for upper urinary tract calculi were set as the control group. The calculi clearance rates， duration of surgery， postoperative treatment effects and other indexes of the two groups were compared. Results The calculi clearance rate in the observation group was significantly higher than that in the control group and the difference was statistically significant(P<0.05). Compared with the control group， duration of surgery and hospitalization and other indexes in the observation group were reduced， and the differences between groups were statistically significant(P<0.05). The incidence of complications in the observation group was lower than that in the control group， which was statistically significant(P<0.05). Conclusion The treatment of upper urinary tract calculi with percutaneous nephrolithotomy and ureteroscopy can both achieve relatively ideal effects， but the treatment effect of percutaneous nephrolithotomy is significantly better than that of ureteroscopy. Patients with percutaneous nephrolithotomy have a better experience， and their indexes such as duration of surgery and hospitality are better than those of patients with ureteroscopy.Therefore， percutaneous nephrolithotomy has a higher application value in the treatment of upper urinary tract calculi and is worthy of promotion., http://www.100md.com(陈忠铭 张梁 刘美宝)
[关键词] 上尿路结石;皮肾镜;输尿管镜;碎石方法
[中图分类号] R693.4 [文献标识码] B [文章编号] 1673-9701(2019)36-0052-04
Comparison of effect of percutaneous nephrolithotomy and ureteroscopy in the treatment of upper urinary tract calculi
CHEN Zhongming ZHANG Liang LIU Meibao
Department of Urology Surgery， Fuzhou Second Hospital Affiliated to Xiamen University， Fuzhou 350007， China
[Abstract] Objective To investigate and compare the clinical efficacy of percutaneous nephrolithotomy and ureteroscopy in the treatment of upper urinary tract calculi. Methods A total of 278 patients who received upper urinary tract calculi treatment in our hospital from February 2015 to February 2018 were selected as the study subjects， and divided into two groups according to different surgical methods. The 146 patients who were treated with percutaneous nephrolithotomy for upper urinary tract calculi were set as the observation group， and the 132 patients who were treated with ureteroscopy for upper urinary tract calculi were set as the control group. The calculi clearance rates， duration of surgery， postoperative treatment effects and other indexes of the two groups were compared. Results The calculi clearance rate in the observation group was significantly higher than that in the control group and the difference was statistically significant(P<0.05). Compared with the control group， duration of surgery and hospitalization and other indexes in the observation group were reduced， and the differences between groups were statistically significant(P<0.05). The incidence of complications in the observation group was lower than that in the control group， which was statistically significant(P<0.05). Conclusion The treatment of upper urinary tract calculi with percutaneous nephrolithotomy and ureteroscopy can both achieve relatively ideal effects， but the treatment effect of percutaneous nephrolithotomy is significantly better than that of ureteroscopy. Patients with percutaneous nephrolithotomy have a better experience， and their indexes such as duration of surgery and hospitality are better than those of patients with ureteroscopy.Therefore， percutaneous nephrolithotomy has a higher application value in the treatment of upper urinary tract calculi and is worthy of promotion., http://www.100md.com(陈忠铭 张梁 刘美宝)