摘要
目的比较微创经皮肾镜取石术（MPCNL）与输尿管镜碎石术（URL）对输尿管上段结石的疗效。方法对215例单侧输尿管上段结石患者，101例采用MPCNL进行治疗，114例采用URL治疗后，其中34例接受辅助的体外冲击波碎石（ESWL）治疗。结果MPCNL组术后1周结石清除率为95．7％（96／101），术后1个月结石清除率为100％（101／101）。URL术后1周结石清除率为33．4％（38／114），应用辅助ESWL后，术后1个月的结石清除率为85．7％（98／114）。结论微创经皮肾镜对嵌顿性输尿管上段结石有较高的结石清除率；输尿管镜效果稍差，可以联合体外冲击波碎石来提高疗效。
Objective To discuss the effect of the mini -percutaneous nephrolithotomy （MPCNL） in management of impacted upper ureteric calculi,comparing with ureteroscope lithotripsy（UL）. Methods A total of 215 patients were diagnosed as upper urteric calculi, 101 patients accepted mini -percutaneous nephrolithotomy, 114 patients accepted ureteroscope lithotripsy ,34 patients accepted auxiliary extracorporeal shock wave lithotripsy （ESWL）.The stone-free rate was recorded in 1 week and 1 month postoperation. Results After PCNL,the stone - free rate was 95.7% （96/101） in 1 week postoperation, and it was 100% （ 101/101 ） in a month postopera- tion. After URL,the stone -free rate was 33.4% （38/114）in 1 week postoperation. With the auxiliary ESWL, the stone -free rate was 85.7% （98/114）in a month postoperation. Conclusion High stone -free rate can be obtained with mini -percutaneous nephrolithotomy for impacted upper ureteric calculi. The stone -free rate was less effective with ureteroscope lithotripsy, but the result can be rised with the auxiliary ESWL.
出处
《中原医刊》
2007年第24期4-5,共2页
Central Plains Medical Journal
关键词
输尿管结石
输尿管镜
经皮肾镜
Ureteric calculi
Ureterscope
Percutaneous nephrolithotomy
