检验医学与临床2018，Vol.15Issue(4)：472-474,3.DOI:10.3969/j.issn.1672-9455.2018.04.013
2种手术方法治疗上尿路结石的效果对比研究
The study of two surgical methods in the treatment of upper urinary calculi
郭绍洪 1梁培育 2王一森 1蔡笃森1
作者信息
- 1. 海南省第二人民医院泌尿外科,海南五指山572299
- 2. 海南医学院附属医院泌尿外科,海口570102
- 折叠
摘要
Abstract
Objective To investigate the effect of minimally invasive percutaneous nephrolithotomy litho-tripsy lithotripsy and extracorporeal shock wave lithotripsy for upper urinary calculi.Methods 188 patients with upper urinary calculi from September 2012 and May 2016,admitted in our hospital were divided into ob-servation group and control group.The observation group was treated with minimally invasive percutaneous e-rythrocyte pressure The patients in the control group were treated with extracorporeal shock wave lithotripsy, and the intraoperative blood loss,operation time,hospitalization time,stone primary and secondary clearance rate and complication were compared between the two groups.Results The hospitalization time and intraoper-ative blood loss were significantly higher in the observation group than in those the control group(P<0.05), the operation time of the patients was significantly less than that in the control group.The rate of primary op-eration was 93.62% in the observation group,which was significantly higher than that in the control group (81.91% )and the secondary clearance rate was 95.74%,which was significantly higher than that of the con-trol group(87.23% ),the differences were statistically significant(P<0.05),there was no significant differ-ence in the incidence of adverse reactions between the two groups(P>0.05).Conclusion In the treatment of patients with upper urinary calculi,minimally invasive percutaneous nephrolithotomy lithotripsy lithotripsy has the advantages of high stone clearance,short operation time and no major complication compared with ex-tracorporeal shock wave lithotripsy intraoperative bleeding,hospital stay a long time.Clinical operation should be based on the actual situation of patients to choose.关键词
体外冲击波碎石术/经皮肾镜气压弹道碎石取石术/尿路结石Key words
extracorporeal shock wave lithotripsy/upper urinary tract stones/minimally invasive per-cutaneous nephrolithotomy ballistic lithotripsy分类
临床医学引用本文复制引用
郭绍洪,梁培育,王一森,蔡笃森..2种手术方法治疗上尿路结石的效果对比研究[J].检验医学与临床,2018,15(4):472-474,3.
