微创经皮肾镜联合输尿管软镜治疗复杂性肾结石临床研究.docVIP

微创经皮肾镜联合输尿管软镜治疗复杂性肾结石临床研究 　　[摘要]目的 探讨微创经皮肾镜联合输尿管软镜治疗复杂性肾结石的临床效果。方法 选取2013年6月～2016年8月于我院确诊为复杂性肾结石并行手术治疗的患者82例纳入研究进行随机分两组，对照组40例患者采用微创经皮肾镜治疗，观察组42例则联合输尿管软镜治疗。比较两组出血量、手术时间、住院时间差异；比较两组一次性结石清除率及并发症情况。结果 两组患者均顺利完成手术，观察组手术时间、住院时间分别为（62.93±9.25）d及（3.31±0.87）d，均明显短于对照组的（83.84±12.34）d及（5.38±1.26）d，术中出血量为（59.85±11.42）ml，明显少于对照组的（82.39±15.52）ml（P0.05）；观察组一次性结石清除率为95.24%，高于对照组的72.50%，并发症发生率为19.05%，明显低于对照组的55.00%，差异有统计学意义（P0.05）。结论 微创经皮肾镜联合输尿管软镜治疗复杂性肾结石的效果显著，具有创伤小，恢复快，结石清除率高的优势，值得推广。 　　[关键词]微创经皮肾镜；输尿管软镜；复杂性肾结石；结石清除率 　　[中图分类号] R692.4 [文献标识码] A [文章编号] 1674-4721（2017）02（a）-0092-03 　　[Abstract]Objective To explore the clinical effect of minimally invasive percutaneous nephroscope with soft ureter mirror treating complexed kidney stones.Methods 82 patients with complexed kidney stones from June 2013 to August 2016 in our hospital were selected and randomly divided into two groups.The control group was （n=40） treated with minimally invasive percutaneous nephroscope，while the observation group （n=42） was adopted soft ureter mirror therapy.Blood loss，operative time，hospitalization time of two groups were compared，and one-time calculi clearance rate and complication were compared.Results The operation time，length of staying in hospital respectively were （62.93±9.25）d and（3.31±0.87）d in observation group and were both shorter than （83.84±12.34）d and（5.38±1.26）d in the control group，intraoperative blood loss was （59.85±11.42）ml in observation group，was obvious less than （82.39±15.52）ml in the control group（P0.05）；The one-time calculi clearance rate of the observation group was 95.24%，was obvious higher than that of 72.50% in the control group，incidence of complications was 19.05% in observation group and was obvious lower than that of 55.00% in the control group，with difference significant（P0.05）.Conclusion The clinical effect of minimally invasive percutaneous nephroscope with soft ureter mirror treating on complexed kidney stones is obvious，which has small trauma，rapid recovery and h