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目的探讨经皮肾镜碎石取石治疗输尿管上段结石100例患者的临床疗效。方法 100例输尿管上段结石患者按取石方法不同分为两组,观察组患者行经皮肾镜碎石取石手术,对照组患者行输尿管镜碎石取石手术,比较两组患者的手术治疗效果。结果观察组患者结石清除率、术后血常规正常率明显高于对照组(P<0.05),观察组患者术后发热率明显低于对照组(P<0.05),观察组患者碎石时间、术后住院时间明显短于对照组(P<0.05)。结论经皮肾镜碎石取石治疗上尿路结石具有创伤小、并发症少、疗效明显、结石清除率高等优点。
Objective To investigate the clinical effect of percutaneous nephrolithotomy on 100 cases of upper ureteral calculi. Methods One hundred patients with upper ureteral calculi were divided into two groups according to different lithotomy methods. Patients in the observation group underwent percutaneous nephrolithotomy and ureteroscopic lithotripsy in the control group. Surgical treatment effects were compared between the two groups. Results The stone clearance rate and postoperative blood routine normal rate in the observation group were significantly higher than those in the control group (P <0.05). The postoperative fever rate in the observation group was significantly lower than that in the control group (P <0.05). The gravel time, The postoperative hospital stay was significantly shorter than that of the control group (P <0.05). Conclusion Percutaneous nephrolithotomy lithotripsy has the advantages of less trauma, less complications, obvious curative effect and high rate of stone removal.