两种微创手术方案对输尿管上段嵌顿性结石患者疗效及安全性的影响  

Influence of two kinds of minimally invasive operation scheme on clinical effects and safety of patients with upper ureteral calculi

作　　者：李建[1] 李守燕 王强[1] 陈爽[1] Li Jian;Li Shouyan;Wang Qiang;Chen Shuang(Department of Urology,Traditional Chinese Medicine Hospital of Luzhou City,Luzhou 646000,China)

机构地区：[1]四川省泸州市中医医院泌尿外科,646000

出　　处：《国际泌尿系统杂志》2019年第1期51-53,共3页International Journal of Urology and Nephrology

摘　　要：目的探讨经皮肾镜碎石与输尿管镜激光碎石+取石网方案对输尿管上段嵌顿性结石患者疗效及安全性的影响。方法选取本院2015年1月至2017年6月收治的输尿管上段嵌顿性结石患者共130例,以随机数字表法分为A组和B组,各65例,分别采用经皮肾镜碎石方案与输尿管镜激光碎石+取石网方案治疗;比较两组患者手术用时、住院总时间、一次性碎石成功率、术后随访结石清除率及术后并发症发生率。结果B组患者手术时间和住院时间均显著短于A组(P<0.05);两组患者一次性碎石清除率比较差异无显著性(P>0.05);B组患者术后3d结石清除率显著低于A组(P<0.05);两组患者术后1个月结石清除率比较差异无显著性(P>0.05);同时两组患者术后并发症发生率比较差异无显著性(P>0.05)。结论经皮肾镜碎石与输尿管镜激光碎石+取石网方案治疗输尿管上段嵌顿性结石在结石清除效果和安全性方面相近;但经皮肾镜碎石方案应用可缩短用时,加快术后康复进程。Objective To investigate the influence of microinvasive percutaneous nephrolithotomy with lithotomy(MPCNL) and trans-urethral ureteroscope lithotripsy(URL)+ Stone Cone scheme on clinical effects and safety of patients with upper ureteral calculi. Methods From January 2015 to June 2017, 130 patients with upper ureteral calculi were chosen in our hospital and divided into both groups including group A (65 cases) with MPCNL and group B (65 cases) with URL+ Stone Cone, and the operation time, the total hospitalization time, the success rate of lithotripsy for first time, the stone clearance rate after operation with follow-up and the postoperative complication incidence of both groups were compared. Results The operation time and the total hospitalization time of group B were significantly shorter than group A(P<0.05). There was no significant difference in the success rate of lithotripsy for first time between two groups(P<0.05). The stone clearance rate in 3 days after operation of group B was significantly lower than group A(P<0.05). There was no significant difference in the stone clearance rate in 1 month after operation between two groups(P<0.05). There was no significant difference in the postoperative complication incidence between two groups(P<0.05). Conclusions MPCNL and URL+ Stone Cone scheme in the treatment of patients with upper ureteral calculi possess the same stone clearance effects and safety, but URL+ Stone Cone scheme application can efficiently shorten the operation time and accelerate the postoperative rehabilitation process.

关 键 词：输尿管结石 外科手术 微创性 

分 类 号：R699.4[医药卫生—泌尿科学]