【摘要】：目的分析超微經(jīng)皮腎鏡和輸尿管軟鏡在治療腎結(jié)石中的感染控制及療效。方法選取2015年5月-2016年5月醫(yī)院診治的腎結(jié)石患者140例為研究對象,入選者自主選擇療法,超微經(jīng)皮腎鏡碎石術(shù)(UPCNL)組70例患者,輸尿管軟鏡碎石術(shù)(URSL)組70例患者,分別觀察兩組患者術(shù)后腎功能、臨床指標(biāo)及術(shù)后不良反應(yīng)。結(jié)果 UPCNL組患者在體內(nèi)清石效果中的顯效率及無效率分別為64.29%及5.71%,均優(yōu)于URSL組患者50.00%及21.43%,兩組患者療效對比,差異有統(tǒng)計學(xué)意義(P0.05);UPCNL組患者在結(jié)石直徑≤20mm的臨床指標(biāo)中,手術(shù)時間、術(shù)中出血量與清石率均優(yōu)于URSL組患者,兩組對比差異有統(tǒng)計學(xué)意義(P0.01);而在結(jié)石直徑20mm的臨床指標(biāo)中,手術(shù)時間、術(shù)中出血量均顯著增加,尤其術(shù)中出血量對比仍有明顯差異(P0.01);治療后,UPCNL組患者血紅蛋白水平為(106.2±9.8)g·~(l-1),下降幅度較小,明顯高于URSL組患者的(98.4±9.5)g·~(l-1),兩組對比差異有統(tǒng)計學(xué)意義(P0.05),而兩組患者血肌酐水平術(shù)前術(shù)后對比,無明顯差異,說明兩種療法對患者的腎功能幾乎無影響。結(jié)論采用超微經(jīng)皮腎鏡術(shù)和輸尿管軟鏡術(shù)在治療腎結(jié)石患者中,對不同結(jié)石大小患者的療效有所區(qū)別,但整體上超微經(jīng)皮腎鏡術(shù),術(shù)后結(jié)石并發(fā)癥率低,療效突出。
[Abstract]:Objective to analyze the infection control and efficacy of ultramicro percutaneous nephroscopy and soft ureteroscopy in the treatment of renal calculi. Methods from May 2015 to May 2016, 140 patients with renal calculi treated in hospital were selected, 70 patients in (UPCNL) group were selected, 70 patients in (URSL) group were treated with soft ureteral lithotripsy, 70 patients in (UPCNL) group and 70 patients in (URSL) group after ureteral soft endoscopy lithotripsy. Renal function, clinical indexes and postoperative adverse reactions were observed in two groups. Results the effective rate and invalid rate of UPCNL group were 64.29% and 5.71%, respectively, which were better than those of URSL group (50.00% and 21.43%). The difference between the two groups was statistically significant (P0.05) in the clinical index of stone diameter 鈮，

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