微创经皮肾穿刺碎石术和经尿道输尿管镜下碎石术治疗复杂性输尿管上段结石的疗效比较  

The comparison of minimally invasive percutaneous nephrolithotomy and trans-urethral ureteroscope lithotripsy for complicated upper ureteric calculi

作　　者：陈小刚[1] 张青汉[1] 董能本[1] 叶绪龙[1] 潘卫斌[1] 彭伟[1] 

机构地区：[1]湖北黄石中心医院泌尿外科,湖北黄石435000

出　　处：《临床泌尿外科杂志》2007年第8期614-615,共2页Journal of Clinical Urology

摘　　要：目的:比较微创经皮肾穿刺碎石术(MPCNL)与经尿道输尿管镜下碎石术(URL)治疗复杂性输尿管上段结石的疗效。方法:符合7项标准中2项以上者定为复杂输尿管上段结石,共56例。采用MPCNL、URL术治疗各28例。结果:MPCNL组术后3天结石清除率为92.85%(26/28),术后1个月结石清除率为100%(28/28)。URL组术后3天结石清除率为21.42%(6/28),术后1个月结石清除率为82.14%(23/28)。结论:MPCNL治疗复杂性输尿管上段结石有很高的结石清除率;URL治疗效果稍差,MPCNL可以作为复杂性输尿管上段结石的首选治疗。To investigate the effect of the Minimally Invasive Percutaneous Nephrolithotomy（MPC- NL） in management of complicated upper ureteric calculi,comparing with Trans-urethral Ureteroscope Lithotripsy （URL）. Methods： A total of 56 patients were diagnosed complicated upper ureteric calculi, 28 patients received Minimal Invasive Percutaneous Nephrolithotomy, 28 patients received Trans-urethral Ureteroscope Lithotripsy. The stone-free rate was recorded in 3 days and 1 month postoperation. Results： After MPCNL, the stone-free rate was 92. 85%（26/28） in 3 days postoperation,and it was 100% （28/28） in a month postoperation. After URL ,the stone-free rate was 21.42%（6/28） in 3 days postoperation and it was 82. 14%（23/28） in a month postoperation. Conclusions： High stone free rate can be obtained with Minimally Invasive Percutaneous Nephrolithotomy for complicated upper ureteric calculi. The stone-free rate was less effective with Trans-urethral Ureteroscope Lithotripsy. Therapy of the MPCNL may be choiced for complicated upper ureteric calculi in the first place.

关 键 词：输尿管结石 输尿管镜 经皮肾穿刺碎石术 

分 类 号：R693[医药卫生—泌尿科学]