输尿管软镜碎石术与经皮肾镜碎石术治疗直径10~20mm肾下盏结石效果的对比分析  

Comparative Efficacy Analysis of Flexible Ureteroscopy and Percutaneous Nephrolithotomy for Treatment of Lower Calyceal Calculi beteen 10~20mm

作　　者：张磊[1] 夏亭[1] 任祥斌[2] 尉春晓[2] 陈修德[2] 

机构地区：[1]山东省邹城市人民医院泌尿外科,山东济宁273500 [2]山东大学附属省立医院泌尿微创中心,山东济南250014

出　　处：《泌尿外科杂志（电子版）》2014年第3期17-20,共4页Journal of Urology for Clinicians(Electronic Version)

摘　　要：目的 评估输尿管软镜碎石术与经皮肾镜碎石术治疗直径10~20mm肾下盏结石的临床疗效。方法 以45例直径10~20mm肾下盏结石患者为研究对象,其中20例采用输尿管软镜碎石术治疗,25例采用经皮肾镜碎石术治疗,针对两种不同手术方式临床效果进行比较。应用SPSS 16.0统计软件行统计学分析。结果 输尿管软镜碎石组和经皮肾镜碎石组的手术时间分别为(72.5±18.2)分钟和(40.8±9.6)分钟,碎石成功率分别为85%和100%。结论 与输尿管软镜碎石术相比较采用经皮肾镜取石术治疗直径10~20mm肾下盏结石效果显著,是治疗肾下盏结石的可靠选择。Objective To compare the clinical efficacy of flexible ureteroscopy and percutaneous nephrolitho-tomy lithotomy for treatment of lower calyceal calculi beteen 10 -20mm. Methods 20 cases of lower calyceal calculi were treated by flexible ureteroscopy and 25 cases by percutaneous nephrolithotomy and their clinical effects were compared. SPSS version 16 was used for statistical analysis. Results For flexible ureteroscopy and percutaneous nephrolithotomy the operationtime was (72 . 5 ± 18 . 2 )min and (40 . 8 ± 9 . 6 )min and the success rate was 85% and 100% respectively. Conclusions For the treatment of lower calyceal calculi 10~20mm in di-ameter percutaneous nephrolithotomy is the better choice.

关 键 词：输尿管软镜碎石术 经皮肾镜取石术 肾下盏结石 

分 类 号：R699[医药卫生—泌尿科学]