输尿管软镜与经皮肾镜钬激光治疗复杂性上尿路结石的对比研究  

作　　者：吴磊[1] 罗志刚[1] 

机构地区：[1]南华大学第二附属医院泌尿外科,湖南421001

出　　处：《当代医学》2016年第15期14-15,共2页Contemporary Medicine

基　　金：衡阳市科技局立项课题(应用基础研究)(2014 KJ 51)

摘　　要：目的比较输尿管软镜与经皮肾镜钬激光治疗复杂性上尿路结石的疗效。方法选择48例复杂性上尿路结石患者采用输尿管软镜治疗(输尿管软镜组),55例采用经皮肾镜碎石(PCNL组),比较两种术式的手术时间、术中出血量、清石率,观察不良反应。结果输尿管软镜组术后4周总清石率为91.7%,PCNL组为92.8%,2组术式患者手术时间差异无统计学意义,输尿管软镜组术中出血量和住院时间少于PCNL组(P<0.05),术后不良反应明显低于PCNL组(P<0.05)。结论输尿管软镜治疗复杂性上尿路结石具有确切的疗效。Objective To comparative the effect of flexible ureteroscope and percutaneous nephrolithotomy by holmium laser for complicated upper urinary calculi. Methods Patients were diagnosed as complicated upper urinary calculi, 48 cases of URL group were performed ureteroscopic lithotripsy and 55 cases of PCNL group were performed percutaneous nephrolithotomy. Comparative the operation time, peri-operative bleeding and stone-free rate of the two operating methods, observe the adverse reactions. Results The stone-free rate in four weeks of URL group was 91.7%, the PCNL group was 92.8%. There was no significantly difference in operative time between two groups,the peri-operative bleeding and postoperative stay of URL group were more less than PCNL group（P〈0,05）, adverse reactions were obviously lower in URL group than that of PCNL group（P〈0.05）. Conclusion Flexible ureteroscope was recommended as an effective treatment for complicated upper urinary calculi.

关 键 词：输尿管软镜 经皮肾镜钬激光 复杂性上尿路结石 

分 类 号：R699[医药卫生—泌尿科学]