【摘要】 目的 :对比使用经皮肾镜超声碎石术和输尿管软镜钬激光碎石术治疗肾结石的临床效果。方法 :选择2015年9月至2017年9月期间南充市身心医院收治的160例肾结石患者作为研究对象。将这160例患者分为PCNL组及FURS组。对PCNL组进行经皮肾镜超声碎石术,对FURS组进行输尿管软镜钬激光碎石术。然后,比较两组患者的手术指标及结石的清除率。结果:治疗后,与PCNL组患者相比,FURS组患者术中的出血量更少,其进行手术的时间更长,其中结石直径≤20 mm患者结石的清除率更高,其中结石直径> 20 mm患者结石的清除率更低(P <0.05)。结论 :使用经皮肾镜超声碎石术和输尿管软镜钬激光碎石术对肾结石患者进行治疗均具有较好的治疗效果,但两种术式各有利弊。经皮肾镜超声碎石术的手术时间较短,适用于结石直径> 20mm的肾结石患者;输尿管软镜钬激光碎石术的术中出血量较少,适用于结石直径≤20mm的肾结石患者。因此,在对肾结石患者进行治疗时,临床医师应结合患者的病情,为其选择适合的术式进行治疗。更多还原

【Abstract】 Objective: To compare the clinical effect of percutaneous nephrolithotripsy(percutaneous nephrolithotripsy) and ureteral soft mirror laser lithotripsy in the treatment of renal calculi. Methods: 160 patients with kidney stones admitted and treated by nanchong psychosomatic hospital from September 2015 to September 2017 were selected as the study subjects. The 160 patients were divided into PCNL group and FURS group. Percutaneous nephrolithotripsy was performed in the PCNL group, and soft ureteroscopic laser lithotripsy was performed in the FURS group. Then, surgical indexes and stone clearance rates of the two groups were compared. Results: after treatment, compared with patients in the PCNL group, patients in the FURS group had less intraoperative blood loss and longer operation time, and the stone clearance rate was higher in patients with a diameter of less than 20 mm, and the stone clearance rate was lower in patients with a diameter of > 20 mm(P < 0.05). Conclusion: percutaneous nephrolithotripsy and ureterolithotripsy with soft ureteroscope and laser lithotripsy are effective in the treatment of patients with renal calculi. The operation time of percutaneous nephrolithotripsy is relatively short, which is suitable for patients with kidney stones with a diameter of > and 20 mm. Ureteral soft mirror laser lithotripsy has less intraoperative blood loss and is suitable for patients with kidney stones whose diameter is less than 20 mm. Therefore, in the treatment of patients with kidney stones, clinicians should combine the patient’s condition, for its selection of appropriate surgical treatment.更多还原