不同术式对上段输尿管复杂性结石的临床观察  

Clinical observation on different surgical methods for upper ureteral complicated calculi

作　　者：杨友法 

机构地区：[1]海阳市人民医院泌尿外科,265100

出　　处：《中国实用医药》2017年第32期29-31,共3页China Practical Medicine

摘　　要：目的探讨采用不同术式治疗上段输尿管复杂性结石的临床疗效。方法 60例上段输尿管复杂性结石患者,其中20例患者行后腹腔镜输尿管切开取石术(RLU),20例患者行微创经皮肾镜取石术(MPCNL),20例患者行逆行输尿管镜取石术(URL)。比较三种术式的手术时间、术后1个月结石清除率和并发症情况。结果三种术式手术时间[(77.10±15.21)min VS(80.30±20.15)min VS(86.50±17.10)min]、术后1个月的结石清除率(85%VS 85%VS 100%)、并发症发生率(10%VS 5%VS 5%)比较差异均无统计学意义(P>0.05)。结论对于上段输尿管复杂性结石患者,各术式之间差异不显著,均可广泛运用到临床。Objective To investigate the clinical efficacy of different surgical methods for the treatment of upper ureteral complicated calculi. Methods Among 60 cases upper ureteral complicated calculi patients, there were 20 patients underwent retroperitoneal laparoscopic ureterolithotomy（RLU）, 20 patients underwent minimally invasive percutaneous nephrolithotomy（MPCNL）, and 20 patients underwent ureteroscope lithotripsy（URL）. Comparison were made on operation time, calculi clearance rate in postoperative 1 month and complications in three surgical methods. Results There were no statistically significant difference in operation time [（77.10±15.21） min VS（80.30±20.15） min VS（86.50±17.10） min], calculi clearance rate in postoperative 1 month（85% VS 85% VS 100%） and incidence of complications（10% VS 5% VS 5%）（P〈0.05）. Conclusion For patients with upper ureteral complicated calculi, there is no significant difference between the different surgical methods, and they can be widely applied in clinic.

关 键 词：不同术式 上段输尿管 复杂性结石 临床观察 

分 类 号：R699.4[医药卫生—泌尿科学]