输尿管软镜与经皮肾镜钬激光碎石取石术治疗肾结石对比研究.docVIP

输尿管软镜与经皮肾镜钬激光碎石取石术治疗肾结石对比研究 　　摘要：目的 探讨行输尿管软镜钬激光碎石取石术与经皮肾镜钬激光碎石取石术（PCNL）对治疗直径小于2cm肾结石的有效性。方法 选取输尿管软镜68例为A组，PCNL术52例为B组，均采取常规的护理措施，比较两组患者平均住院日，平均手术时间，并发症发生率，结石清除率，患者满意度。结果 A组和B组平均住院日分别为3.2d和8.1d，手术时间分别为（33±10）和（65±10）min，单次结石清除率92%和98%，两组比较差异均有统计学意义（P0.05）；A组患者满意度高于B组（P0.05），而术后并发症发生率明显低于B组（P0.05）。结论 输尿管软镜钬激光碎石取石术通过人体自然腔道进行手术，创伤小，恢复快，缩短住院时间和手术时间，降低术后并发症的发生。 　　关键词：肾结石；输尿管软镜；钬激光碎石；护理 　　Flexible Ureteroscopy and Percutaneous Nephrolithotomy Holmium Laser Lithotripsy for Renal Calculi （2cm） Clinical Effect Comparison 　　YANG Run-li，KANG Jian，CHEN Deng-mei 　　（Department of Urology Surgery，The First Affiliated Hospital of Medical University of Chongqing，Chongqing 400016，China） 　　Abstract：Objective To discuss the treating effect between Flexible ureteroscopic lithotripsy and Percutaneous nephrolithotomy to kidney calculus less than 2cm in diameter.Methods 68 cases of kidney calculus less than 2cm in diameter treating with flexible ureteroscopic lithotripsy were set as group A.Other 52 cases treating with Percutaneous nephrolithotomy were set as group B.conventional nursing measures and preoperative psychological counseling，were given.The average of the confinement，the operation time，the complication rates，the stone clearance rate and the patientssatisfaction of the two groups were compared.Results The average confinements are 3.2d and 8.1d in group A and group B，respectively.The average operating time are（ 33±10）min and （65±10）min in group A and group B，respectively.The average stone clearance rate are 92%and 98%in group A and group B，respectively.The differences are of statistical significance（P0.05）.The satisfactory degree of group A is significantly higher than that in group B（P0.05），while the incidence rate of complications is significantly lower in group A than that in group B（P0.05）.Conclusion Flexible ureteroscopic is natural orifice endoscopic surgery.It has the feature of minimal invasion，easy recovery，shorter operating and confinement time.It can also reduce