摘要
目的分析不同方法对输尿管上段结石治疗的疗效。方法 84例输尿管上段结石患者,根据治疗方法不同分为观察组A与观察组B,每组42例。观察组A应用经尿道输尿管镜碎石术治疗,观察组B应用后腹腔镜输尿管切开取石术治疗。比较两组患者的手术时间、出血量、住院时间以及结石清除率、术后并发症发生率。结果两组患者的手术时间、出血量比较差异无统计学意义(P>0.05)。观察组A患者的住院时间短于观察组B,差异具有统计学意义(P<0.05)。观察组A患者的结石清除率为90.5%,低于观察组B的100.0%,差异具有统计学意义(P<0.05)。观察组A患者术后并发症发生率为14.3%,高于观察组B的2.4%,差异具有统计学意义(P<0.05)。结论经尿道输尿管镜碎石术及后腹腔镜输尿管切开取石术治疗输尿管上段结石的效果均显著,经尿道输尿管镜碎石术的住院时间较短,后腹腔镜输尿管切开取石术的结石清除率较高且并发症发生率较低。
Objective To analyze the efficacy of different treatment methods for upper ureteral calculi. Methods A total of 84 patients with upper ureteral calculi were divided by different treatment methods into observation group A and observation group B, with 42 cases in each group. Observation group A was treated with transurethral ureteroscopy lithotripsy, and observation group B was treated with retroperitoneal laparoscopic ureterolithotomy. Comparison were made on operation time, bleeding volume, hospitalization time, calculi clearance rate and incidence of postoperative complications between the two groups. Results Both groups had no statistically significant difference in operation time and bleeding volume（P〉0.05）. Observation group A had shorter hospitalization time than observation group B, and the difference was statistically significant（P〈0.05）. Observation group A had lower calculi clearance rate as 90.5% than 100.0% in observation group B, and the difference was statistically significant（P〈0.05）. Observation group A had higher incidence of postoperative complications as 14.3% than 2.4% in observation group B, and the difference was statistically significant（P〈0.05）. Conclusion Both transurethral ureteroscopy lithotripsy and retroperitoneal laparoscopic ureterolithotomy provides remarkable effect in treating upper ureteral calculi, but the hospitalization time of transurethral ureteroscopy lithotripsy is shorter, while the calculi clearance rate of retroperitoneal laparoscopic ureterolithotomy is high and the incidence of complications is low.
出处
《中国实用医药》
2018年第6期21-23,共3页
China Practical Medicine
