经尿道输尿管镜及经皮肾镜对输尿管结石患者的影响.docVIP

经尿道输尿管镜及经皮肾镜对输尿管结石患者的影响 　　【摘要】 目的：对比探讨经尿道输尿管镜及经皮肾镜在输尿管结石手术中临床应用价值以及对患者的影响。方法：回顾性分析本院泌尿外科2012年1月-2014年7月接诊治疗的120例输尿管结石患者的临床资料，随机分为试验组和对照组，试验组采用尿道输尿管镜的方法进行手术治疗，对照组采用皮肾镜的方法进行手术治疗，观察两组患者的结石清除率、不良反应、手术时间及手术费用等。结果：试验组治愈率明显高于对照组，且发生不良反应发生率也明显低于对照组，手术时间短，手术费用少，患者的恢复情况较好，但对照组的结石清除率高于试验组，而对照组的手术时间长，手术费用高，差异均具有统计学意义（P0.05）。结论：尿道输尿管镜取石术具有治愈率高、不良反应少、恢复时间短、安全性高，可有效降低严重并发症的发生率，而经皮肾镜治疗的患者结石清除率高，但手术时间长，手术费用高，因此，在手术前应针对不同患者采取相应的最佳治疗措施，以提高手术成功率。 　　【关键词】 尿道输尿管镜； 皮肾镜； 输尿管结石 　　【Abstract】 Objective：To study clinical application value and its influence of transurethral ureteroscopy and percutaneous nephroscope in ureteral calculi surgery patients.Method：A retrospective analysis of our hospital uropoiesis surgical department from January 2012 to July 2014 accepts treatment， the clinical data of 120 patients with ureteral calculi were randomly divided into experimental group and control group， experimental group of patients with urethral ureter mirror surgery method of treatment， the control group were treated by skin kidney surgery method of treatment the mirror， by observing two groups of patients with calculi clearance rate of adverse reaction operation time and operation expenses， etc.Result：Ureter mirror：the experimental group USES the urethra stone extraction for the cure rate of patients was obviously higher than that of control group， and the probability of adverse reactions are significantly lower than the control group， shorter operation time， less operation cost， the patient’s recovery was good， but the control group of stone clearance rate higher than that of the experimental group， whereas the control of operation time was long， the high cost of operation， the difference was statistically significant（P0.05）.Conclusion：Ureteroscopy take urethral stone with high cure rate Less adverse reaction Recovery time is short high safety， can effectively reduce the incidence of serious complications， the patients treated with percutaneous nephroscope calculi clearance rate is high， b