摘要
目的比较微创经皮肾镜穿刺取石术(minimally invasive precutaneous nephrolithotomy,MPCNL)与经尿道输尿管镜碎石术(transurethral ureteroscopic lithotripsy,URL)治疗输尿管上段嵌顿结石的疗效。方法从2008年03月～2012年03月,70例单侧嵌顿性输尿管上段结石的患者,35例采用MPCNL治疗,35例采用URL治疗,对2组患者的结石清除率、手术时间、术中出血、住院时间以及手术并发症等进行分析比较。结果 MPCNL组术后3d结石清除率为97.14%(34/35),术后1个月结石清除率为100%(35/35);URL组术后3d结石清除率为25.71%(9/35),术后1个月的结石清除率为82.86%(29/35),均显著低于MPCNL组(P<0.05);在手术时间、术中出血、住院时间、术后发热(T>38.5℃)的发生率等方面,MPCNL组和URL组在统计学上无显著性差异(P>0.05)。结论 MPCNL治疗输尿管上段嵌顿性结石相较URL,其结石清除率高,且具有安全、有效、术后并发症少等的优点,可作为输尿管上段嵌顿性结石的首选治疗方法。
Objective To compare the efficacy of minimally invasive percutaneous nephrolithotomy（MPCNL） and transurethral ureteroscopic lithotripsy（URL） for impacted upper ureteric calculi.Methods A total of 70 cases were diagnosed as unilateral impacted upper urteric calculi during March,2008 to March,2012,of which 35 received transurethral URL and the other 35 received MPCNL.The stone-free rate,operation time,intraoperative blood loss,hospital stay and complications were statistically analyzed.Results In the MPCNL group,the stone-free rate was 97.14%（34/35） 3 days after operation and 100%（35/35） 1 month after operation.In the URL group,the stone-free rate was 25.71%（9/35） 3 days after operation and 82.86%（29/35） 1 month after operation.The MPCNL group had higher stone-free rates（P0.05）.There were no statistical difference between the two groups in operation time,intraoperative blood loss,hospital stay and the incidence of postoperative hyperpyrexia（T38.5℃,P0.05）.Conclusion As compared with the URL,MPCNL is more effective and can be the first choice for impacted upper ureteric calculi.
出处
《现代泌尿外科杂志》
CAS
2013年第2期138-140,共3页
Journal of Modern Urology
基金
福州市科技局社会发展项目(No.2010-S-89)
关键词
输尿管上段结石
微创经皮肾穿刺取石术
输尿管镜碎石术
upper ureteric calculi
minimally invasive precutaneous nephrolithotomy
ureteroscopic lithotripsy
