经皮肾镜取石与输尿管镜碎石术治疗嵌顿性输尿管上段结石疗效比较分析  

Comparative analysis of curative effects between percutaneous nephrolithotomy and ureteroscopy lithotripsy in the treatment of impacted upper ureteral calculi

作　　者：邓助朋 陈宁 刘东彪 陈结能 周晓帆 吴春志 

机构地区：[1]台山市人民医院泌尿外科,529200

出　　处：《中国实用医药》2015年第12期19-21,共3页China Practical Medicine

摘　　要：目的对比经皮肾镜取石与输尿管镜碎石术治疗嵌顿性输尿管上段结石的临床疗效。方法 84例嵌顿性输尿管上段结石患者,采用随机数表法将其分为经皮肾镜组与输尿管镜组,每组42例。经皮肾镜组采用经皮肾镜取石术进行治疗,输尿管镜组采用经尿道输尿管镜碎石术治疗,比较两组患者结石清除率、手术用时、住院时间及术后并发症发生率。结果经皮肾镜组患者结石清除率、手术用时、住院时间及并发症发生率明显优于输尿管镜组,差异具有统计学意义(P<0.05)。结论采用经皮肾镜取石术治疗嵌顿性输尿管上段结石具有较高的结石清除率及较低的术后并发症发生率,并且住院时间较短,可降低患者经济负担,具有临床应用及推广价值。Objective To compare the clinical effects between percutaneous nephrolithotomy and ureteroscopy lithotripsy in the treatment of impacted upper ureteral calculi. Methods A total of 84 patients with impacted upper ureteral calculi were divided by random number table into percutaneous nephrolithotomy group and ureteroseopy group with 42 cases in each group. The percutaneous nephrolithotomy group received percutaneous nephrolithotomy for treatment, and the ureteroscopy group was given ureteroscopy lithotripsy in treatment. Comparisons were made on calculus clearance rate, operation time, hospital stay, and incidence of postoperative complications between the two groups. Results The percutaneous nephrolithotomy group had obviously better calculus clearance rate, operation time, hospital stay, and incidence of postoperative complications than the ureteroscopy group, and the difference had statistical significance （P〈0.05）. Conclusion Implement of percutaneous nephrolithotomy can provide high calculus clearance rate and low incidence of postoperativecomplications in treating impacted upper ureteral calculi. This method can shorten hospital stay and reduce patients＇ cost, and it contains value in clinical promotion and application.

关 键 词：经皮肾镜取石 输尿管镜碎石术 嵌顿性输尿管上段结石 疗效 

分 类 号：R699.4[医药卫生—泌尿科学]