探讨输尿管软镜在治疗输尿管上段漂移结石中应用效果.docVIP

探讨输尿管软镜在治疗输尿管上段漂移结石中应用效果 　　[摘要] 目的 探究输尿管软镜在治疗输尿管上段漂移结石中的疗效，为临床提供指导。 方法 方便择取2014年10月―2016年8月在该院接受救治的68例输尿管上段漂移结石患者作为观察对象，对纳入病例临床资料进行回顾性分析。结合治疗方式的不同将其分为软镜组（38例，应用输尿管软镜钬激光碎石取石术）、肾镜组（30例，应用经皮肾镜碎石取石术）。研究对比两组一期清石率、总结石清除率、手术时间、住院时间及并发症发生率。 结果 软镜组患者一期清石率（60.53%）相比肾镜组（86.67%）明显低（P0.05）；软镜组患者手术时间[（120.24±40.35）min]相比肾镜组[（99.24±20.61）min]明显长（P0.05）；软镜组患者住院时间[（5.12±2.31）d]相比肾镜组[（7.24±3.32）d]明显更短（P0.05）；软镜组患者并发症发生率（5.26%）相比肾镜组（30.00%）明显更低（P0.05）。 结论 两种治疗方式均具有较显著的效果，但应用输尿管软镜钬激光碎石取石术患者住院时间更短，术后出血、感染等并发症发生率更低。 　　[关键词] 输尿管软镜；输尿管上段漂移结石 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）02（b）-0113-04 　　[Abstract] Objective To investigate the effect of ureteral soft mirror on the treatment of the drift stones of ureter， provide guidance for clinical practice. Methods 68 cases of upper ureteral calculi were convenient selected from October 2014 to August 2016 drift for treatment in our hospital as the observation object，the clinical data of the patients were retrospectively analyzed.In combination with different treatment methods， it was divided into soft mirror group（38 cases， the application of ureteral soft mirror holmium laser lithotripsy）， the nephroscope group（30 cases， the application of percutaneous nephrolithotomy）. The study compared the rate of clearing stone， the time of operation， the time of hospitalization and the incidence of complications. Results The soft lens group of patients with a stone clearance rate（60.53%） than nephrolithotomy group （86.67%） was significantly lower（P0.05）；Soft lens groups of patients with operation time [（120.24±40.35）min] compared with nephrolithotomy group[（99.24±20.61）min] Obviously long（P0.05）；The hospitalization time soft lens group [（5.12±2.31）d] compared with nephrolithotomy group [（7.24±3.32）d] Shorter（P0.05）；The incidence of complications in patients with soft lens group（5.26%） than nephrolithotomy group （30%） was significantly lower（P0.05）. Conclusion Two kinds of treatment had a significant effect， but the application of flexible urete