幸荣臻 胡继成 刘磊 姚志敏 朱锦智

摘要：目的 探索肾结石患者电子输尿管软镜手术治疗的效果以及对碎石成功率的影响。方法 本次研究于2019年1月-2020年12月在本院进行，选取66例肾结石患者为对象，将患者随机单盲法分组，每组33例。对照组常规手术治疗，观察组电子输尿管软镜手术治疗，比较疗效。结果 观察组结石清除率较对照组高，手术时间、住院时间较对照组短，术中出血量较对照组少，有统计学意义（P<0.05）。结论 电子输尿管软镜手术是治疗肾结石的有效方案，对患者的创伤小，恢复快速，对患者有利，要重视。

关键词：肾结石;电子输尿管软镜手术;碎石成功率

[Abstract]Objective To explore the effect of electronic flexible ureteroscope in the treatment of renal calculi and its influence on the success rate of lithotripsy. Methods this study was conducted in our hospital from January 2019 to December 2020. 66 patients with renal calculi were selected as the object，and the patients were randomly divided into single blind group，33 cases in each group. The control group was treated with conventional surgery，and the observation group was treated with electronic flexible ureteroscope surgery. Results the stone clearance rate of the observation group was higher than that of the control group，the operation time and hospitalization time were shorter than those of the control group，and the intraoperative blood loss was less than that of the control group，with statistical significance（P < 0.05）. Conclusion electronic flexible ureteroscopy is an effective method for the treatment of renal calculi，which has the advantages of less trauma，rapid recovery and favorable for patients.

[Key words]renal calculi;Electronic flexible ureteroscope surgery;Success rate of lithotripsy

腎结石属于泌尿系统的常见结石类型，发病率比较高，对尿路造成堵塞，尿液排出不畅，导致血尿、发热、腰痛等多种不良症状的出现【1】，而且随着病程时间的延长，对患者的负面影响更为明显，会发展成为肾积水、尿毒症等疾病。对于该疾病来说，应及时做出诊治，控制病情，保守治疗的效果比较差，所以多通过手术治疗【2-3】。目前激光、光纤、电子镜等技术水平不断成熟，在治疗肾结石疾病中，效果比较显著，电子输尿管软镜手术在治疗中具备优势，对患者的创伤比较小，安全度高，碎石成功率高【4】。本次实验主要研究电子输尿管软镜手术治疗肾结石的效果，请看下述。

1 资料和方法

1.1一般资料

选择本院在2019年1月-2020年12月期间诊治的66例肾结石患者作为对象，随机单盲法分组，每组33例。患者资料，对照组：男女比例为20：13，年龄上限下限分别为76岁和31岁，平均年龄（50.3±2.7）岁。……