经皮肾镜碎石取石术与后腹腔镜输尿管切开取石术治疗输尿管上段嵌顿性结石疗效的对比研究  

The curative effect comparison study for impacted proximal urethral calculi undergoing percutaneous nephrolithotomy(PCNL) and retroperitoneoscopic ureterolithotomy(RLU)

作　　者：马大东[1] 古凤莲 徐火松[1] 

机构地区：[1]新疆生产建设兵团第一师医院泌胸外科,新疆阿克苏843000

出　　处：《农垦医学》2016年第3期224-226,共3页Journal of Nongken Medicine

摘　　要：目的:探究对输尿管上段嵌顿性结石病例使用经皮肾镜碎石取石术与后腹腔镜输尿管切开取石术治疗的疗效。方法:随机抽取在2013年1月-2015年1月于我科室治疗输尿管上段嵌顿性结石的病例48例,将其分为治疗组和对照组两组,每组24例,两组分别使用PCNL和RLU治疗。对治疗后的效果及相关指标进行测评。结果:治疗组的结石清除率、并发症和对照组接近(>0.05),无显著性差异,其手术时间、住院时间均少于对照组(均P<0.05),但手术出血量更多(<0.05)。结论:经皮肾镜碎石取石术能有效清除输尿管结石,减少不良反应,效果明显优于后腹腔镜输尿管切开取石术,值得推广。Objective： To explore the curative effect for the impacted proximal urethral calculi undergoing percutaneous nephrolithotomy and retroperitoneoscopic ureterolithotomy.Methods： 48 patients treated in our section for impacted proximal urethral calculi from January,2013 to January,2015 were selected randomly, divided into treatment group and control group, 24 cases for each group, which used PCNL and RLU respectively. Evaluated the effect and related index after treatment. Results：The stone-free rate.complication of the treatment group is close to that of control group （P〉0.05）,having no significant difference, its operation time. hospital stays are both less than that of control group （P〈0.05）,but with more postoperative blood loss （P〈0.05）.Conclusion： The PCNL can effectively remove ureteral calculi.reduce side reaction,whose effect is obviously superior to the RLU, deserved to be promoted.

关 键 词：尿管上段 经皮肾镜 后腹腔镜 碎石取石 输尿管切开取石 嵌顿性结石 

分 类 号：R693.4[医药卫生—泌尿科学]