微创经皮肾输尿管镜碎石取石术和体外冲击波碎石术治疗上尿路结石的效果比较  

Treatment Effect Comparison of Upper Urinary Calculus by using the treatment of Minimally invasive Percutaneous Nephrolithotomy and Extracorporeal Shockwave Lithotripsy

作　　者：金玲[1] 李菁[1] 文宁[2] 金丽花[3] 

机构地区：[1]怀化医学高等专科学校,湖南怀化418000 [2]湖南中医药大学,410007 [3]怀化医专附属医院,418000

出　　处：《医药世界》2007年第2期38-40,共3页Medicine World

摘　　要：目的:探讨微创经皮肾输尿管镜碎石取石术的临床治疗效果。方法采用微创经皮肾输尿管镜碎石取石术治疗肾输尿管结石83例(A组),并与采用体外冲击波碎石术治疗肾输尿管结石188例(B组)进行比较。结果A组结石清除率95.18%,明显高于B组的77.13%(p<0.05),术中术后出血发生率也低于B组(p<0.01),手术时间明显比B组长(p<0.01)。结论微创经皮肾输尿管镜碎石取石术治疗肾输尿管结石效果好,值得临床推广应用,但手术定位方法等尚待进一步研究。Objective： To proverb into the clinical treatment effect of Minimally invasive Percutaneous Nephrolithotomy. Method： To treat 83 cases of kidney and ureter calculus by Minimally invasive Percutaneous Nephrolithotomy （Group A）, and compared with 188 cases of Extracorporeal Shockwave Lithotripsy （Group B）. Result： The clearing rate of calculus in Group A is 95.18%, it is evidently higher than Group B 77.13%, P 〈 0. 05 and the bleeding amount after operation is lower than Group B , p 〈 0.01, the time of operation is evidently longer than Group B ,p 〈 0.01. Conclusion： Minimally invasive Percutaneous Nephrolithotomy has good effect to treat kidney and ureter calculus, and it is worthy of spreading and applying clinically, but the operational location method need further research.

关 键 词：微创经皮肾输尿管镜碎石取石术 体外冲击波碎石术 治疗 上尿路结石 

分 类 号：R693.4[医药卫生—泌尿科学]