经皮肾镜取石与输尿管镜碎石治疗嵌顿性输尿管上段结石疗效对比.doc

精品论文 参考文献 经皮肾镜取石与输尿管镜碎石治疗嵌顿性输尿管上段结石疗效对比 鲁建华 　　（可利特结石医院；四川乐山 612560） 　　【摘要】目的：对比分析经皮肾镜取石与输尿管镜碎石治疗嵌顿性输尿管上段结石的临床疗效。方法：收集我院2012年6月-2014年6月期间诊治的58例嵌顿性输尿管上段结石患者作为研究对象，根据其治疗方式将患者分为经皮肾镜取石组（28例）与输尿管镜碎石组（28例），输尿管镜碎石组患者采用输尿管镜碎石方法取石，经皮肾镜取石组患者采用经皮肾镜取石方法取石，观察患者的取石成功率和并发症发生率、手术时间、血红蛋白下降程度、住院时间。结果：经皮肾镜取石组取石成功率明显高于输尿管镜碎石组(Plt;0．05)，且经皮肾镜取石组并发症发生率明显低于输尿管镜碎石组(Plt;0．05)；同时，经皮肾镜取石组患者的手术时间明显短于输尿管镜碎石组(Plt;0．05)，血红蛋白下降程度明显大于输尿管镜碎石组(Plt;0．05)，住院时间明显短于输尿管镜碎石组(Plt;0．05)。结论：经皮肾镜取石治疗嵌顿性输尿管上段结石的临床疗效优于输尿管镜碎石。 　　【关键词】经皮肾镜取石；输尿管镜碎石；嵌顿性输尿管上段结石；临床疗效 　　Percutaneous nephroscope lithotomy with ureteroscopy lithotripsy in treatment of incarcerated in ureteral Duan Jieshi curative effect comparison 　　Lu Jian-hua 　　Ke Li Te stone hospital si chuan 612560 　　[Abstract] objective:To compare the clinical effect of the treatment of impacted upper ureteral calculi treated with percutaneous renal stone and ureteral stone. Method:Collected during June 2012-June 2014 on the diagnosis and treatment of 58 cases of incarcerated ureteral calculus patients studied, depending on how the treatment patients were divided into Group of percutaneous nephrolithotomy (28 cases) and ureteroscopic lithotripsy Group (28 cases), the ureter mirror crushed stone group patients use the ureter mirror crushed stone method to take the stone, takes the stone group patients after Pi Shenjing to use after Pi Shenjing takes the cubic meter of stone law to take the stone, observes the patient to take the stone success ratio and the complication formation rate, the surgery time, the hemoglobin drop degree, in hospital time. Results:The success rate of percutaneous stone group was significantly higher than that of the lithotripsy group (Plt;0.05), and the incidence of complications was significantly lower than that of the lithotripsy group (Plt;0.05);At the same time, the percutaneous nephrolithotomy stone group of patients with operation time was significantly shorter in ureteroscopic lithotripsy group (P lt; 0.05), decreased hemoglobin was