经皮肾镜术和腹腔镜输尿管切开术治疗输尿管上段结石的对比  

The contrast between percutaneous nephrolithotripsy and laparoscopy for the treatment of proximalureteral calculi

作　　者：梁卓寅[1] 单志昌[1] 陈秀萌[1] 叶向东[1] 

机构地区：[1]广州医学院第一附属医院微创外科中心泌尿外科,广东510230

出　　处：《国际泌尿系统杂志》2009年第6期721-723,共3页International Journal of Urology and Nephrology

摘　　要：目的探讨经皮肾镜取石术和腹腔镜输尿管切开取石术在治疗输尿管上段结石各方面的区别。方法选取本院2008年1月到2008年12月经皮肾镜取石术1602例和腹腔镜输尿管切开取石术20例患者资料做对比分析。结果1622例患者均获得成功，手术效果满意。出现严重并发症如下：出现大出血须行肾动脉介入栓塞治疗15例18人次；出现结肠损伤2例。经进一步治疗后全部治愈。结论经皮肾镜取石术和腹腔镜输尿管切开取石术各有优缺点。腹腔镜输尿管切开取石术是经皮肾镜取石术有益的补充和支持。准确选择手术方式，使患者获得最大的疗效，减少并发症的发生。Objectives To evaluate percutaneous nephrolithotomy and laparoscopic ureterolithotomy in the treatment of proximalureteral calculi all the difference. Methods In our hospital in January to December in 2008 pereutaneous nephrolithotomy and 1602 cases of laparoscopic ureterolithotomy information do patients with 20 cases analyzed. Results 1622 cases of patients are to be successful, the operation with satisfactory result. Serious com- plications are as follows： there must be massive involvement of renal artery embolization in the treatment of 15 cases of 18 years; two cases of colon injury occur, After further cured after treatment. Conclusions Percutaneous nephrolithotomy and laparoscopic ureterolithotomy own advantages and disadvantages. Laparoscopic ureterolithotomy is percutaneous nephrolithotomy ureful complement and support. Accurate choice of surgical approach to patients with the greatest efficacy and reduce complication.

关 键 词：输尿管结石 外科手术 腹腔镜 输尿管镜检 

分 类 号：R699.4[医药卫生—泌尿科学]