输尿管镜碎石术联合封堵取石导管与经皮肾镜碎石术治疗嵌顿性输尿管上段结石的疗效比较  

Efficacy Comparison between Ureteroscopic Lithotripsy Combined with Application of Ureteral Occlusion Device and Percutaneous Nephrolithotomy in the Treatment of Incarcerated Upper Ureteral Calculi

作　　者：余子强[1] 邹建安[1] 邵明峰[1] 徐久平[1] 

机构地区：[1]安徽中医药大学第一附属医院泌尿外科,安徽合肥230000

出　　处：《中国临床医学》2015年第6期796-798,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:比较输尿管镜碎石术(URSL)联合封堵取石导管与经皮肾镜碎石术(PCNL)治疗嵌顿性输尿管上段结石的临床特点。方法:选择单侧嵌顿性输尿管上段结石患者89例,其中采用URSL联合封堵取石导管治疗40例(URSL组),PCNL49例(PCNL组)。比较两组的手术时间、术中出血量、术后并发症、住院时间、医疗费用、手术成功率。结果:URSL组手术时间、术中出血量、住院时间、住院费用均低于PCNL组(P<0.05),两组手术成功率、术后并发症发生率差异无统计学意义(P>0.05)。结论:URSL联合封堵取石导管治疗嵌顿性输尿管上段结石的疗效与PCNL相似,且URSL手术时间短、出血少、创伤小、恢复快、医疗费用低,更为安全。Objective ：To compare the clinical features between ureteroscopic lithotripsy （URSL） combined with application of ureteral occlusion device and percutaneous nephrolithotomy （PCNL ） for the treatment of incarcerated upper ureteral calculi . Methods ：Eighty-nine patients with unilateral incarcerated upper ureteralcal culi were enrolled ,among whom , 40 cases underwent URSL combined with application of ureteral occlusion device （URSL group） and the other 49 cases underwent PCNL （PCNL group） . The operative time ,intraoperative blood loss ,postoperative complications ,length of hospital stay , medical fees , and achievement rate of operation were compared between the two groups . Results ： The operative time , intraoperative blood loss ,length of hospital stay ,and medical fees in URSL group were significantly less than those in PCNL group （P〈 0 .05） .However ,no statistically significant difference was observed regarding achievement rate of operation and complications between the two groups （P 〉 0 .05） .Conclusions ：The efficacy of URSL combined with application of ureteral occlusion device for the treatment of incarcerated upper ureteral calculi is similar to that of PCNL ,and URSL shows shorter operative time ,less blood loss ,less surgical trauma ,faster recovery ,lower medical fees and higher safety .

关 键 词：输尿管镜 经皮肾镜 输尿管上段结石 

分 类 号：R693.4[医药卫生—泌尿科学]