经皮肾镜碎石取石术及输尿管软镜钬激光碎石术治疗肾结石病人效果探究.docVIP

经皮肾镜碎石取石术及输尿管软镜钬激光碎石术治疗肾结石病人效果探究 　　[摘要] 目的 研究?皮肾镜碎石取石术和输尿管软镜钬激光碎石术治疗肾结石病人的效果。方法 方便选择该院2015年1月―2016年2月收治的肾结石病人80例进行分组回顾分析。输尿管组采取输尿管软镜钬激光碎石术治疗，肾镜组采取经皮肾镜碎石取石术治疗。比较两组患者肾结石一期手术清除率；肾结石取出时间、治疗过程失血量、术后住院观察时间；患者并发症发生率的差异。结果 肾镜组相较于输尿管组肾结石一期手术清除率92.5%更高，输尿管组仅为75%，差异有统计学意义，P0.05，均无出现严重不良反应。结论 经皮肾镜碎石取石术和输尿管软镜钬激光碎石术治疗肾结石病人的效果均较好，有较高的安全性，但相对来说，经皮肾镜碎石取石术手术时间更短且结石取净率更高，术后恢复快，临床可根据患者情况选择合理术式 [关键词] 经皮肾镜碎石取石术；输尿管软镜钬激光碎石术；肾结石病人；效果 [中图分类号] R692 [文献标识码] A [文章编号] 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， 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