输尿管镜与微通道经皮肾镜治疗输尿管上段结石疗效研究  

Curative effect evaluation on ureteroscope combination with microchannel percutaneous nephrolithotripsy in treating upper ureteral calculus

作　　者：张尧 袁鹤胜[2] 陈伟伟 

机构地区：[1]慈溪市中医医院,浙江慈溪315300 [2]宁波市第一医院,浙江宁波315000

出　　处：《浙江医学教育》2017年第1期42-43,47,共3页Zhejiang Medical Education

摘　　要：目的:探讨微通道经皮肾镜取石术(MPCNL)和输尿管镜碎石术(URL)治疗输尿管上段结石的疗效。方法:将120例输尿管上段嵌顿性结石患者随机分为对照组和治疗组各60例。对照组采用URL手术,治疗组则采用MPCNL手术,比较2组患者手术时间、并发症发生率、结石清除率等指标。结果:治疗组手术时间明显短于对照组(P<0.05),而治疗组的术后并发症发生率为5.00%,明显低于对照组的16.67%(P<0.05);治疗组术后3天、1个月的结石清除率分别为91.67%、96.57%,均明显高于对照组的66.67%、83.33%(P<0.05)。结论:MPCNL治疗输尿管上段嵌顿性结石患者,可缩短手术时间,减少并发症发生率,提高输尿管上段结石清除率。[Objective] To explore the curative effect of microchannel percutaneous nephrolithotripsy （1） and uretero-scopic lithotripsy （URL） in treating upper ureteral calculus. [ Method] 120 cases of upper ureteral calculus with incarcerationwere randomly divided into control group （n = 60） and treatment group（n = 60）. The control group was received URL opera-tion, and the treatment group was adopted operation. The indexes such as operation time, incidence rate of complica-tions and clearance rate of calculus were compared between the two groups after operation. [ Result ] The operation time in treat-ment group was much lower than that of the control group （P 〈 0.05）, and the incidence rate of complications in the treatmentgroup was 5.00%, much lower than the control group （ 16.67, P 〈 0.05）. The clearance rates of calculus of 3 days and 1month after operation in treatment group were 91.67% and 96.57%, respectively, all of which is much higher than that of thecontrol group （66.67 % - 83.33 %, both P 〈 0.05）. [ Conclusion ] MPCNL in treating upper ureteral calculus with incarcerationcan shorten operation time, cut down the incidence rate of complications and raise clearance rate of calculus.

关 键 词：输尿管上段结石 输尿管镜碎石术 微通道经皮 肾镜取石术 输尿管镜 疗效 

分 类 号：R693.4[医药卫生—泌尿科学]