經(jīng)皮腎鏡碎石取石術(shù)和輸尿管軟鏡鈥激光碎石術(shù)治療腎結(jié)石病人的效果研究

[摘要] 目的 研究經(jīng)皮腎鏡碎石取石術(shù)和輸尿管軟鏡鈥激光碎石術(shù)治療腎結(jié)石病人的效果。方法 方便選擇該院2015年1月—2016年2月收治的腎結(jié)石病人80例進(jìn)行分組回顧分析。輸尿管組采取輸尿管軟鏡鈥激光碎石術(shù)治療，腎鏡組采取經(jīng)皮腎鏡碎石取石術(shù)治療。比較兩組患者腎結(jié)石一期手術(shù)清除率；腎結(jié)石取出時(shí)間、治療過(guò)程失血量、術(shù)后住院觀察時(shí)間；患者并發(fā)癥發(fā)生率的差異。結(jié)果 腎鏡組相較于輸尿管組腎結(jié)石一期手術(shù)清除率92.5%更高，輸尿管組僅為75%，差異有統(tǒng)計(jì)學(xué)意義，P<0.05；腎鏡組相較于輸尿管組腎結(jié)石取出時(shí)間更短、治療過(guò)程失血量更少、術(shù)后住院觀察時(shí)間更短，輸尿管組分別為（134.39±12.77）min、（78.39±13.57）mL、（6.61±2.59）d，腎鏡組分別為（93.51±10.41）min、（15.51±2.61）mL、（3.62±1.34）d，差異有統(tǒng)計(jì)學(xué)意義，P<0.05。兩組并發(fā)癥發(fā)生率相似，均為7.5%，差異無(wú)統(tǒng)計(jì)學(xué)意義，P>0.05，均無(wú)出現(xiàn)嚴(yán)重不良反應(yīng)。結(jié)論 經(jīng)皮腎鏡碎石取石術(shù)和輸尿管軟鏡鈥激光碎石術(shù)治療腎結(jié)石病人的效果均較好，有較高的安全性，但相對(duì)來(lái)說(shuō)，經(jīng)皮腎鏡碎石取石術(shù)手術(shù)時(shí)間更短且結(jié)石取凈率更高，術(shù)后恢復(fù)快，臨床可根據(jù)患者情況選擇合理術(shù)式。

[關(guān)鍵詞] 經(jīng)皮腎鏡碎石取石術(shù)；輸尿管軟鏡鈥激光碎石術(shù)；腎結(jié)石病人；效果

[中圖分類(lèi)號(hào)] R692 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742（2016）12（b）-0085-03

Percutaneous Nephroscope Lithotripsy Removed and Soft Ureter Mirror Holmium Laser Lithotripsy for the Treatment of Kidney Stone Patient Study

LIN Yin-sheng

Department of Urology， the Third Hospital of Zhangzhou City， Fujian Province， Zhangzhou， Fujian Province，363000 China

[Abstract] Objective To study the percutaneous nephroscope lithotripsy removed and soft ureter mirror holmium laser lithotripsy for the treatment of kidney stones in patients. Methods Convenient selection from January 2015 to February 2016 kidney stone patient group 80 cases by retrospective analysis. Ureteral group adopt soft lens holmium laser lithotripsy treatment of ureter and renal lens to take for the treatment of percutaneous nephroscope lithotripsy removed. Compare two groups of patients with kidney stones issue of surgical clearance； Take time to kidney stones， blood loss， postoperative hospitalization time treatment process； Differences in patients with complications. Results Nephrolithotomy group compared with the surgical group renal ureteral stone clearance rate was 92.5% higher， ureter group was 75%，P < 0.05； nephrolithotomy group compared with the group of ureteral renal calculi removed time shorter and shorter hospitalization time to observe the process of less blood loss， postoperative ureteral group were （134.39±12.77）min，（78.39±13.57）mL，（6.61±2.59）d， nephrolithotomy group were （93.51±10.41）min，（15.51±2.61）mL， （3.62±1.34）d，P < 0.05. The incidence of complications was similar in the two groups， all of which were 7.5%，P > 0.05， there were no serious adverse reactions. Conclusion Percutaneous nephrolithotomy and ureteroscope holmium laser lithotripsy for renal calculi patients had better effect， high security， but relatively speaking， percutaneous nephrolithotomy with shorter operation time and the rate of calculus is higher， faster postoperative recovery， the clinical reasonable choice operation according to the conditions of patients.

[Key words] Percutaneous nephroscope rubble stone extraction for； Soft ureter mirror holmium laser lithotripsy； Kidney stone patient； The effect

腎結(jié)石為常見(jiàn)泌尿系結(jié)石類(lèi)型，患者臨床可出現(xiàn)疼痛、血尿等癥狀，部分患者早期無(wú)典型癥狀，若治療不及時(shí)可導(dǎo)致病情進(jìn)一步發(fā)展而出現(xiàn)梗阻和感染等并發(fā)癥，引發(fā)腎衰竭，威脅生命安全[1]。為了探討腎結(jié)石的有效治療方法，該研究方便選擇該院2015年1月—2016年2月腎結(jié)石病人80例進(jìn)行分組回顧分析，對(duì)經(jīng)皮腎鏡碎石取石術(shù)和輸尿管軟鏡鈥激光碎石術(shù)治療腎結(jié)石病人的效果進(jìn)行分析，現(xiàn)報(bào)道如下。……