微通道经皮肾镜与输尿管软镜治疗输尿管上段结石疗效对照分析.docVIP

微通道经皮肾镜与输尿管软镜治疗输尿管上段结石疗效对照分析 　　【摘要】 目的 比较微通道经皮肾镜（MINI-PCNL）与输尿管软镜治疗输尿管上段结石的疗效。方法 98例输尿管上段结石患者， 按照随机数字表法将其分研究组与对照组， 各49例。研究组应用输尿管软镜治疗， 对照组应用MINI-PCNL治疗。比较两组一期碎石成功率、手术时间、术中出血量及术后并发症发生情况。结果 研究组一期碎石成功率为95.92%， 高于对照组的83.67%， 差异具有统计学意义（χ2=4.009， P0.05）；研究组术中出血量少于对照组， 差异具有统计学意义（P0.05）；研究组术后并发症发生率为2.04%， 低于对照组的16.33%， 差异具有统计学意义（χ2=5.995， P0.05）。结论 相较于MINI-PCNL， 输尿管软镜治疗输尿管上段结石具有碎石成功率高、术中出血量少、并发症低等优势， 适于临床推广。 　　【关键词】 微通道经皮肾镜；输尿管软镜；输尿管上段结石；疗效 　　DOI：10.14163/j.cnki.11-5547/r.2017.08.022 　　【Abstract】 Objective To compare curative effects by mini percutaneous nephroscope （MINI-PCNL） and flexible ureteroscope in the treatment of upper ureteral calculi. Methods A total of 98 patients with upper ureteral calculi were divided by random number table into research group and control group， with 49 cases in each group. The research group received flexible ureteroscope for treatment， and the control group received MINI-PCNL for treatment. Comparison was made on success rate of first period lithotripsy， operation time， intraoperative bleeding volume and postoperative complications between the two groups. Results The research group had higher success rate of first period lithotripsy as 95.92% than 83.67% in the control group， and their difference had statistical significance （χ2=4.009， P0.05）. The research group had less intraoperative bleeding volume than the control group， and their difference had statistical significance （P0.05）. The research group had lower incidence of postoperative complications as 2.04% than 16.33% in the control group， and their difference had statistical significance （χ2=5.995， P0.05）. Conclusion Comparing with MINI-PCNL， flexible ureteroscope contains advantages of high success rate of lithotripsy， low intraoperative bleeding volume and few complications in treating upper ureteral calculi. This method is worth clinical promotion. 　　【Key words】 Mini percutaneous nephroscope； Flexible ureteroscope； Upper ureteral calculi； Curative effect 　　近年?恚? 随着外科碎石技术的不断发展