微创医学

目的探讨微创经皮肾镜取石术治疗输尿管上段嵌顿性结石的临床效果。方法选择输尿管上段嵌顿性结石患者132例，随机分为治疗组和对照组各 66例。对照组采用传统手术治疗，治疗组接受微创经皮肾镜取石术治疗。比较观察两组的治疗效果。结果治疗组一次性清石率明显高于对照组，术后复发率、术后并发症发生率明显低于对照组，差异均有统计学意义(P＜0.05)；治疗组手术时间、术中出血量、卧床时间、住院时间均明显少于对照组，术后疼痛明显轻于对照组，差异均有统计学意义(P＜0.05)。结论对于输尿管上段嵌顿性结石患者，采用微创经皮肾镜取石术治疗效果明显，能提高一次性结石清除率，降低术后并发症及复发率，缩短手术时间、卧床时间及住院时间，减少术中出血量。

ObjectiveTo explore the clinical effect of minimally invasive percutaneous nephrolithotomy in treatment of impacted upper ureteric calculus. MethodsA total of 132 patients with impacted upper ureteric calculus were chose and randomly divided into treatment group and control group, 66 cases in each group. The control group were treated by traditional operation, and the treatment group were treated by the minimally invasive percutaneous nephrolithotomy. The treatment effect of the two groups were compared. ResultsThe one-time clearance rate of the treatment group was significantly higher than that of the control group, and the recurrence rate and incidence of complications of the treatment group were significantly lower than those of the control group, the difference was statistically significant(P＜0.05). The operation time, intraoperative blood loss, bed time, hospitalization time in the treatment group were significantly less than those in the control group, the postoperative pain was significantly lighter than the control group, the difference was statistically significant (P＜0.05). ConclusionMinimally invasive percutaneous nephrolithotomy in treatment of impacted upper ureteric calculus has obvious effect, can improve one-time clearance rate, reduce the postoperative complications and recurrence rate, shorten the operation time, bed time and hospitalization time, reduce the amount of bleeding.