杨培刚. 输尿管镜与经皮肾镜碎石术治疗输尿管上段结石效果比较[J]. 蚌埠医学院学报, 2013, 37(8): 969-971.
    引用本文: 杨培刚. 输尿管镜与经皮肾镜碎石术治疗输尿管上段结石效果比较[J]. 蚌埠医学院学报, 2013, 37(8): 969-971.
    YANG Pei-gang. Comparison of transureteroscope holmium laser lithotripsy and percutaneous nephrotithotomy in treatment of upper-ureteral calculi[J]. Journal of Bengbu Medical College, 2013, 37(8): 969-971.
    Citation: YANG Pei-gang. Comparison of transureteroscope holmium laser lithotripsy and percutaneous nephrotithotomy in treatment of upper-ureteral calculi[J]. Journal of Bengbu Medical College, 2013, 37(8): 969-971.

    输尿管镜与经皮肾镜碎石术治疗输尿管上段结石效果比较

    Comparison of transureteroscope holmium laser lithotripsy and percutaneous nephrotithotomy in treatment of upper-ureteral calculi

    • 摘要: 目的:比较经尿道输尿管镜碎石术(URL)与经皮肾镜碎石术(PCNL)治疗输尿管上段结石的效果。方法:对24例采用URL治疗(URL组)和19例采用PCNL治疗(PCNL组)的输尿管上段结石患者手术时间、术后住院时间、术后感染率、结石清除率及并发症发生率进行比较。结果:URL组手术时间和术后住院时间均短于PCNL组(P0. 01),2组术后结石清除率、感染率和并发症发生率差异均无统计学意义(0. 05)。结论:输尿管上段结石位置偏低、肾脏积水少及不宜全麻的患者,可考虑首选URL手术。PCNL有一定创伤,对输尿管上段嵌顿结石、伴明显肾积水且结石位置近肾盂者,可有较好的疗效。

       

      Abstract: Objective: To investigate the effects of ureteroscope holmium laser lithotripsy( UrL) and percutaneous nephrolithotripsy( PCNL) in management of upper urinary tract calculi. Methods: Forty-three patients with upper ureter calculi were included in the study. Twenty-four of them were treated by UrL( UrL group) and 19 by PCNL( PCNL group) . The operation time,post-operativehospital stay,post-operative infection, stone-free rate and complication were compared between the two groups. Results: The operation time and hospital stay of the UrL group were significantly shorter than those of the PCNL group( P < 0. 01) . The stone-free rate,postoperativeinfection and complication had no significant differences between the two groups( P > 0. 05) . Conclusions: UrL is the bestchoice for patients whose ureteric calculi are located in a low position and have little hydronephrosis, or the patients who cannot undergogeneral anesthesia; PCNL is more suitable for patients whose ureteric calculi are in the upper part or near the pelvis with obvious hydronephrosis.

       

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