摘要
目的:探讨比较微创经皮肾镜取石(MPCNL)和经尿道输尿管镜碎石(URL)两种不同手术方法治疗输尿管上段嵌顿性结石的临床疗效。方法:将本院收治的140例输尿管上段嵌顿性结石患者随机均分为微创经皮肾镜取石组(MPCNL组)和经尿道输尿管镜碎石组(URL组),每组各70例,比较分析两组手术结果的差异。结果:MPCNL组术后3 d和30 d的结石清除率均显著高于URL组,两组比较差异有统计学意义(P<0.05);MPCNL组的平均手术时间、术后住院天数、术后肉眼血尿时间及住院总花费显著高于URL组,两组比较差异有统计学意义(P<0.05);两组并发症发生率比较差异无统计学意义(P>0.05)。结论:治疗输尿管上段嵌顿性结石,MPCNL术后结石清除率更高,但URL术后创伤更小,恢复更快,住院花费更低。
Objective： To investigate the clinical efficacy of minimally invasive percutaneous nephrolithotomy（MPCNL） and trans-ureteroscope lithotripsy（URL） in the treatment of incarcerated upper ureteral calculi. Method： 140 patients with incarcerated upper ureteral calculi were selected and divided into MPCNL group and URL group,70 cases in each group. The different efficacy of two groups were compared. Result： The operation of MPCNL group＇s stone clearance rate after 3 d and 30 d were significantly higher than the URL group, the difference was statistically significant（P0.05）.The MPCNL group＇s operation time, hospital stay time, gross hematuria time and the total expenses were significantly higher than URL group, the difference was statistically significant（P0.05）.The incidences of adverse reaction of two groups were not statistically significant different（P0.05）. Conclusion： In the treatment of incarcerated upper ureteral calculi, the stone clearance rate of MPCNL is higher than URL, but the surgical trauma of URL is less and the expenses of URL is lower than MPCNL.
出处
《中国医学创新》
CAS
2015年第8期47-49,共3页
Medical Innovation of China
关键词
输尿管上段嵌顿性结石
微创经皮肾镜取石
经尿道输尿管镜碎石
Incarcerated upper ureteral calculi
Minimally invasive percutaneous nephrolithotomy
Trans-ureteroscope lithotripsy
