微通道经皮输尿管镜、标准通道经皮肾镜钬激光碎石取石术治疗肾结石疗效比较

《微通道经皮输尿管镜、标准通道经皮肾镜钬激光碎石取石术治疗肾结石疗效比较》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、微通道经皮输尿管镜、标准通道经皮肾镜钬激光碎石取石术治疗肾结石疗效比较青神县人民医院外一科四川眉山620460摘要：目的研究肾结石患者采用为通道经皮输尿管镜钬激光碎石取石和标准通道经皮肾镜钬激光碎石取石的临床效果。方法临床纳入80例我院2013年8月至2015年8月期间收治的肾结石患者作为研究对象。根据患者床位单双号分为两组各40例。其屮40例患者采用标准通道经皮肾镜钬激光碎石取石作为观察组，另40例患者采用微通道经皮输鉍管镜钬激光碎石取石作为对照组。观察两组患者手术情况、肾功能情况、结石清除率及并发症情况等。结果观察组手术时间、

2、出血量、置管时间以及住院时间均优于对照组，P<0.05。术前两组患者Scr、BUN水平对比无差异，P>0.05；术后两组患者Scr、BUN水平明显降低，但对比仍无差异，P〉0.05。观察组、对照组并发症发生率分别为7.5%、22.5%,观察组明显较低，P<0.05；观察组、对照组结石清除率分别为95.0%、92.5%,对比无差异，P〉0.05。结论标准通道经皮肾镜钬激光碎石取石术治疗肾结石效果显著，术后并发症更少，值得临床应用及推广。关键词：肾结石：微通道；经皮输尿管镜；经皮肾镜；钬激光碎石Comparisonofthethera

3、peuticeffectofmicrochannelpercutaneousholmiumlaserlithotripsyandpercutaneousholmiumlaserlithotripsyinthetreatmentofrenalcalculi[Abstract】Objective:Tostudytheclinicaleffectofpercutaneousholmiumlaserlithotripsyandstandardchannelpercutaneousholmiumlaserlithotripsyforthet

4、reatmentofrenalcalculi.Method：Clinicalstudyof80casesofkidneystonestreatedinourhospitalfromAugust2013toAugust2015.Accordingtothepatient'sbeddividedintotwogroupsof40cases.40casesweretreatedwiththestandardchannelpercutaneousholmiumlaserlithotripsyastheobservationgroup，th

5、eother40patientsweretreatedwithmicrochannelpercutaneousholmiumlaserlithotripsyasthecontrolgroup.Theoperationstatus，renalfunction,stoneclearancerateandcomplicationsofthetwogroupswereobserved.Result：Theoperationtime，bleedingvolume，indwellingtimeandlengthofstayintheobser

6、vationgroupwerebetterthanthoseinthecontrolgroup，P<0.05.TherewasnodifferenceinthelevelofScrandBUNbetweenthetwogroupsbeforeandduringtheoperation，P>0.05；ThelevelsofScrandBUNweresignificantlydecreasedinthetwogroupsafteroperation，buttherewasnodifferencebetweenthegrou

7、ps，P>0.05.Theincidenceofcomplicationsintheobservationgroupandcontrolgroupwere7.5%and22.5%respectively,andtheobservationgroupwassignificantlylower，P<0.05；Thestoneclearancerateoftheobservationgroupandcontrolgroupwere95%and92.5%respectively,andtherewasnodifferenceb

8、etweenthetwogroups,P>0.05.Conclusion：Standardchannelpercutaneousholmiumlaserlithotripsyforthetreatmentofrenalcalculihasas