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目的研究经皮肾镜碎石取石术(PCNL)与输尿管软镜碎石术(F-URS)治疗肾结石的临床疗效及安全性。方法方便选取该院2016年8月—2017年2月收治的82例肾结石患者,根据随机数字表法均分为两组,观察组41例行F-URS治疗,对照组41例行PCNL治疗,对比两组手术时间、术中出血量、术后住院时间、清石率以及术后并发症发生情况。结果观察组清石率为95.12%,与对照组的92.68%相当(P>0.05);观察组手术时间、术中出血量和术后住院时间分别为(65.35±11.58)min、(10.86±2.65)m L和(3.23±1.06)d,与对照组的(82.36±12.46)min、(79.65±25.68)m L和(6.83±1.31)d,比较差异有统计学意义(P<0.05);观察组术后肾包膜下血肿、肾绞痛和菌血症发生率分别为4.88%、4.88%和2.44%,均较对照组显著减少(P<0.05)。结论 F-URS和PCNL均为肾结石的有效治疗方法 ;较PCNL而言,F-URS清石率相当,但更为微创,安全;可缩短手术时间,减少术中失血量和术后并发症发生率。
Objective To study the clinical efficacy and safety of percutaneous nephrolithotomy (PCNL) and ureteroscopic lithotripsy (F-URS) in the treatment of kidney stones. Methods Convenient selection of the hospital from August 2016 to February 2017 admitted 82 cases of kidney stones patients, according to random number table were divided into two groups, the observation group of 41 patients treated with F-URS, the control group of 41 patients treated with PCNL The operation time, intraoperative blood loss, postoperative hospital stay, clear stone rate and postoperative complications were compared between the two groups. Results The rate of clear stone in the observation group was 95.12%, which was similar to 92.68% in the control group (P> 0.05). The operation time, intraoperative blood loss and postoperative hospital stay in the observation group were (65.35 ± 11.58) min and (10.86 ± 2.65 ), m L and (3.23 ± 1.06) d, respectively, compared with the control group (82.36 ± 12.46) min and (79.65 ± 25.68) m L and (6.83 ± 1.31) d, respectively The postoperative incidence of subcapsular hematoma, renal colic and bacteremia were 4.88%, 4.88% and 2.44%, respectively, which were significantly lower than those in the control group (P <0.05). Conclusions Both F-URS and PCNL are effective treatment for kidney stones. Compared with PCNL, F-URS has the same rate of clear stone, but is more minimally invasive and safe. It can shorten the operation time, reduce intraoperative blood loss and postoperative complications The incidence of disease.