[1]陈 浩.经皮肾镜碎石取石和体外冲击波碎石治疗直径1~2 cm结石的效果比较[J].医学信息,2021,34(12):133-135.[doi:10.3969/j.issn.1006-1959.2021.12.035]
　CHEN Hao.Comparison of the Effects of Percutaneous Nephrolithotomy and Extracorporeal Shock Wave Lithotripsy in the Treatment of Stones with Diameters of 1 to 2 cm[J].Medical Information,2021,34(12):133-135.[doi:10.3969/j.issn.1006-1959.2021.12.035]
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经皮肾镜碎石取石和体外冲击波碎石治疗直径1~2 cm结石的效果比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年12期
页码:
133-135
栏目:
临床研究
出版日期:
2021-06-15

文章信息/Info

Title:
Comparison of the Effects of Percutaneous Nephrolithotomy and Extracorporeal Shock Wave Lithotripsy in the Treatment of Stones with Diameters of 1 to 2 cm
文章编号:
1006-1959（2021）12-0133-03
作者:
陈 浩
（天津市东丽区东丽医院泌尿外科，天津 300300）
Author(s):
CHEN Hao
(Department of Urology,Dong Li Hospital,Tianjin 300300,China)
关键词:
经皮肾镜碎石; 体外冲击波碎石; 结石清除率
Keywords:
Percutaneous nephrolithotomy; Extracorporeal shock wave lithotripsy; Stone clearance rate
分类号:
R691.4
DOI:
10.3969/j.issn.1006-1959.2021.12.035
文献标志码:
A
摘要:
目的 比较经皮肾镜碎石取石和体外冲击波碎石治疗直径1~2 cm结石的临床效果。方法 选取2019年8月~2020年8月我院治疗的94例上尿路结石患者为研究对象，采用随机数字表法分为对照组和观察组，各47例。对照组采用体外冲击波碎石治疗，观察组采用经皮肾镜碎石取石治疗，比较两组结石清除率、手术指标、并发症发生率以及治疗满意度。结果 观察组术后3 d、1个月结石清除率均高于对照组，差异有统计学意义（P＜0.05）；观察组手术时间、术中出血量、住院时间、治疗费用均大于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率为17.02%，高于对照组的8.51%，差异有统计学意义（P＜0.05）；观察组治疗满意度为93.61%，与对照组的91.48%，差异无统计学意义（P＞0.05）。结论 经皮肾镜碎石取石治疗直径1~2 cm上尿路结石清除率高，但术后并发症发生率、治疗费用高于体外冲击波碎石术，可能影响患者预后。临床对于1~2 cm上尿路结石患者，可结合患者意愿，依据患者具体情况科学合理选择治疗方法。
Abstract:
Objective To compare the clinical effects of percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy in the treatment of stones with diameters of 1 to 2 cm.Methods 94 patients with upper urinary tract stones treated in our hospital from August 2019 to August 2020 were selected as the research objects. They were divided into control group and observation group by random number table method, with 47 cases in each group.The control group was treated with extracorporeal shock wave lithotripsy, and the observation group was treated with percutaneous nephrolithotomy. The stone removal rate, surgical index, complication rate and treatment satisfaction were compared between the two groups.Results The stone clearance rate of the observation group was higher than that of the control group at 3 dand 1 month after operation,the difference was statistically significant(P＜0.05);The operation time, intraoperative blood loss, hospitalization time, and treatment cost of the observation group were greater than those of the control group,the difference was statistically significant (P<0.05);The incidence of complications in the observation group was 17.02%, which was higher than 8.51% in the control group,the difference was statistically significant(P<0.05);The treatment satisfaction of the observation group was 93.61%, which was not statistically different from 91.48% of the control group (P>0.05).Conclusion Percutaneous nephrolithotomy for treatment of upper urinary tract stones with a diameter of 1 to 2 cm has a high clearance rate, but the postoperative complications and treatment costs are higher than extracorporeal shock wave lithotripsy, which may affect the prognosis of patients.Clinically, for patients with upper urinary tract stones of 1 to 2 cm, the treatment method can be scientifically and rationally selected according to the patient’s wishes and according to the patient’s specific conditions.

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更新日期/Last Update: 1900-01-01