不同手术方式治疗复杂性输尿管上段结石的疗效比较  

The efficacy comparison of different surgical methods in treatment of complicated ureteral calculi

作　　者：吴波[1] 杨波[1] 周东言 姜心[1] 

机构地区：[1]沈阳市第五人民医院泌尿外科,辽宁沈阳110023

出　　处：《中国现代医生》2014年第29期134-136,共3页China Modern Doctor

摘　　要：目的比较输尿管镜碎石术、微创经皮肾镜取石术的疗效。方法共纳入70例复杂性输尿管上段结石患者,其中A组32例行微创经皮肾镜取石术(minimally invasive percutaneous nephrolithotomy,MPCNL),B组38例行输尿管镜碎石术(ureteroscopic lithotripsy,URL),观察两组患者术后的成功率、手术时间、出血量、住院时间及并发症发生率。结果 A组的成功率显著高于B组,差异有统计学意义(P<0.05);B组手术时间(39.1±8.3)min,显著短于A组(P<0.01);B组出血量(10.1±2.4)mL,显著少于A组(P<0.01);B组住院时间(6.79±1.77)d,明显短于A组(P<0.01);B组并发症发生率显著低于A组(P<0.05)。结论输尿管镜碎石术、微创经皮肾镜取石术各具优势,临床医生可根据患者实际情况进行最佳选择。Objective To compare efficacy of ureteroscopy, minimally invasive percutaneous nephrolithotomy surgery. Methods A total of 70 cases of patients with ureteral stones,A group underwent MPCNL 32 cases,group B underwent URL 38 cases, the success rate after treatment, surgical time, blood loss, hospital stay and complication rates were compared. Results The success rate of group A was significantly higher than group B,the difference was significant（P〈0.05）. Group B of operative time（39.1＆#177;8.3）min, was significantly shorter in group A（P〈0.01）. Group B of bleed-ing（10.1＆#177;2.4）mL, was significantly less than group A（P〈0.01）. Group B of hospital stay was（6.79＆#177;1.77）d, was signifi-cantly shorter than group A,the difference was significant （P〈0.01）. The complication rate of B group was significantly lower than group A（P〈0.05）. Conclusion Ureteroscopy, minimally invasive percutaneous nephrolithotomy surgery respec-tive advantages, clinicians may be the best choice based on the actual situation of the patient.

关 键 词：复杂性 输尿管上段结石 输尿管镜碎石术 微创经皮肾镜取石术 并发症 

分 类 号：R699.4[医药卫生—泌尿科学]