新疆医学
新疆醫學
신강의학
Xinjiang Medical Journal
2015年
11期
1622-1624
,共3页
肾结石%输尿管软镜术%经皮肾镜术%清石率
腎結石%輸尿管軟鏡術%經皮腎鏡術%清石率
신결석%수뇨관연경술%경피신경술%청석솔
stones%flexible ureteroscope surgery%percutaneous nephrolithotomy surgery%stone clearance rate
目的 临床对照分析肾结石治疗中输尿管软镜手术与经皮肾镜手术的清石率及临床推广应用价值.方法 随机性抽取我院2014年7月至2015年1月间泌尿外科收治的72例肾结石患者为研究对象,根据研究方案分别行输尿管软镜手术、经皮肾镜手术,对照分析两种手术方案术后的清石率、手术时间、出血量等观察指标.结果 输尿管软镜组中<20mm结石清石率为90%,>20 mm结石清石率为82.61%;经皮肾镜组中<20mm结石清石率为83.33%,>20 mm结石清石率为96.30%;组间术中出血量、手术时间均有明显差异性.结论 经过临床实践证实,若肾结石直径≤20mm则适用于输尿管软镜手术,若肾结石直径>20mm则比较适合经皮肾镜手术,术前根据适应症合理选择手术方式,可提高手术清石率、安全性.
目的 臨床對照分析腎結石治療中輸尿管軟鏡手術與經皮腎鏡手術的清石率及臨床推廣應用價值.方法 隨機性抽取我院2014年7月至2015年1月間泌尿外科收治的72例腎結石患者為研究對象,根據研究方案分彆行輸尿管軟鏡手術、經皮腎鏡手術,對照分析兩種手術方案術後的清石率、手術時間、齣血量等觀察指標.結果 輸尿管軟鏡組中<20mm結石清石率為90%,>20 mm結石清石率為82.61%;經皮腎鏡組中<20mm結石清石率為83.33%,>20 mm結石清石率為96.30%;組間術中齣血量、手術時間均有明顯差異性.結論 經過臨床實踐證實,若腎結石直徑≤20mm則適用于輸尿管軟鏡手術,若腎結石直徑>20mm則比較適閤經皮腎鏡手術,術前根據適應癥閤理選擇手術方式,可提高手術清石率、安全性.
목적 림상대조분석신결석치료중수뇨관연경수술여경피신경수술적청석솔급림상추엄응용개치.방법 수궤성추취아원2014년7월지2015년1월간비뇨외과수치적72례신결석환자위연구대상,근거연구방안분별행수뇨관연경수술、경피신경수술,대조분석량충수술방안술후적청석솔、수술시간、출혈량등관찰지표.결과 수뇨관연경조중<20mm결석청석솔위90%,>20 mm결석청석솔위82.61%;경피신경조중<20mm결석청석솔위83.33%,>20 mm결석청석솔위96.30%;조간술중출혈량、수술시간균유명현차이성.결론 경과림상실천증실,약신결석직경≤20mm칙괄용우수뇨관연경수술,약신결석직경>20mm칙비교괄합경피신경수술,술전근거괄응증합리선택수술방식,가제고수술청석솔、안전성.
Objective The purpose of the clinical control study of kidney stones therapeutic effect and clinical application value in the ureter soft lens surgery and percutaneous nephrolithotomy surgery. Methods My Hospital randomness extraction method between December 2013 to January 2015 were treated 72 cases of kidney stones urology patients for the study, according to the study protocol underwent surgery flexible ureteroscope, percutaneous nephrolithotomy surgery, control analysis of two surgical options stone clearance rate after surgery, operative time, blood loss, such as observed. Results The results flexible ureteroscope group<20mm stone stone clearance rate was 90%,>20 mm stone stone clearance rate was 82.61%;percutaneous nephrolithotomy group<20mm stone stone clearance rate was 83.33%,>20 mm stone stone clearance rate to 96.30%;between-group blood loss, operative time was significantly difference. Conclusion proven through clinical practice, if the kidney ureter diameter ≤20mm apply to soft lens surgery, kidney stone clearance if diameter>20mm are more suitable for percutaneous nephrolithotomy surgery, preoperative indications based on rational choice of surgical approach, can improve rate, safety.
