摘要
目的探讨2.0~3.0 cm肾结石患者分别行经皮肾镜与输尿管软镜碎石术治疗对相关并发症的影响。方法方便选取2018年10月—2021年5月湖南航天医院收治的96例2.0~3.0 cm肾结石患者,采用随机摸球法分成A组(n=48)与B组(n=48),A组给予经皮肾镜碎石术治疗,B组给予输尿管软镜碎石术治疗,比较两组患者手术相关指标及术后相关并发症。结果两组手术时间比较,差异无统计学意义(P>0.05);A组碎石时间为(25.84±3.87)min较B组的(37.33±3.53)min明显更短,差异有统计学意义(t=15.197,P<0.001),但术中出血量较B组更多,差异有统计学意义(P<0.05),住院时间较B组明显更长,差异有统计学意义(P<0.05);A组术后残石等相关并发症发生率(6.25%)较B组(37.50%)明显更低,差异有统计学意义(χ^(2)=13.714,P<0.001);其中A组无须二期手术处理的残石,B组有2例因一期输尿管软镜鞘置入失败,内置输尿管支架管半月后行二期输尿管软镜手术成功。结论2.0~3.0cm肾结石患者给予经皮肾镜治疗的效果更好,能够促进手术相关指标的改善,减少术后相关并发症的发生。
Objective To investigate the effect of percutaneous nephrolithotomy and flexible ureteroscopic lithotripsy on related complications in patients with 2.0-3.0 cm kidney stones.Methods 96 patients with 2.0-3.0 cm kidney stones who were admitted to the Hunan Aerospace hospital from October 2018 to May 2021 were conveniently selected and randomly divided into group A(n=48)and group B(n=48).Group A was given percutaneous nephrolithotomy,and group B was given flexible ureteroscopic lithotripsy.The operation-related indicators and postoperative complications were compared between the two groups.Results There was no statistically significant difference in operation time between the two groups(P>0.05);gravel time(25.84±3.87)min of group A was significantly shorter than that of group B(37.33±3.53)min,the difference was statistically significant(t=15.197,P<0.001),but the intraoperative blood loss was more than group B,the difference was statistically significant(P<0.05),hospital stay was significantly longer than group B,the difference was statistically significant(P<0.05);the incidence of postoperative residual stone and other complications in group A(6.25%)was significantly lower than that in group B(37.50%),and the difference was statistically significant(χ^(2)=13.714,P<0.001).In group A,there were no residual stones requiring secondary surgical treatment,and in group B,2 patients underwent secondary ureteroscopic surgery successfully half a month after the insertion of ureteral stent due to the failure of primary ureteroscopic sheath insertion.Conclusion Percutaneous nephroscopic treatment is more effective for patients with 2.0-3.0 cm kidney stones,which can promote the improvement of surgery-related indicators and reduce postoperative complications.
作者
谢国欧
XIE Guoou(Department of Urology,Hunan Aerospace Hospital,Changsha,Hunan Province,410205 China)
出处
《中外医疗》
2022年第28期65-69,共5页
China & Foreign Medical Treatment
作者简介
谢国欧(1980-),男,硕士,副主任医师,研究方向为泌尿系结石与肿瘤。
