输尿管上段嵌顿性结石的治疗方法及效果研究  

Study on the treatment and the effect of upper ureteral calculi

作　　者：牟江宁 吴鹏[1] 

机构地区：[1]石嘴山市第二人民医院,宁夏753000

出　　处：《安徽卫生职业技术学院学报》2016年第2期74-75,72,共3页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:对比微创经皮肾镜穿刺去石术(MPCNL)、输尿管镜碎石术(URL)两种方法治疗输尿管上段嵌顿性结石的临床效果。方法:随机选取某院所接收单侧嵌顿性输尿管上段结石患者132例,MPCNL、URL治疗组各66例。分别就两组结石清除率、手术时间、术中出血、住院时间、手术并发症等情况进行对比。结果:术后3d,URL治疗组结石清除率25.76%,术后1个月结石清除率83.3%;术后3d,MPCNL治疗组结石清除率96.97%,术后1个月结石清除率100%,均显著高于URL治疗组(P<0.05)。结论:较URL而言,MPCNL治疗方法具有更高的结石清除率,且安全、高效,术后并发症少,因而具有良好的临床效果。Objective：To compare the minimally invasive pereutaneous renal puncture to stone surgery （MPCNL）and ureteroscopie lithotripsy（URL）clinical effect of two methods in the treatment of upper ureteral calculi. Methods：Randomly selected our hospital received unilateral ureteral calculi in 132 eases,MPCNL URL,66 patients in each treatment group.Each of the two group of stone clearance rate,operation time, intraoperative bleeding,hospitalization time, complications were compared.Results：3 days after operation, URL in the treatment group, the stone clearance rate of 25.76%,postoperative 1 stone clearance rate was 83.3%;3 days after operation,MPCNL group stone clearance rate was 96.97%,postoperative 1 stone clearance rate of 100% were significantly higher than those in the URL in the treatment group （p〈0.05）.Conclusion：Compared with URL,NPCNL treatment has a higher stone clearance rate,and it is safe,efficient,with less postoperative complications,so it has a good clinical effect.

关 键 词：输尿管上段嵌顿性结石 微创经皮肾镜穿刺取石术 输尿管镜碎石术 

分 类 号：R699[医药卫生—泌尿科学]