微创经皮肾镜取石术治疗肾盂和输尿管上段嵌顿结石的疗效  

Efficacy of minimally invasive percutaneous nephrolithotomy in treating renal and upper ureteral incarcerated stone

作　　者：夏稳 杨瑜 

机构地区：[1]东南大学附属中大医院泌尿外科,江苏南京210009

出　　处：《江苏医药》2018年第2期182-184,共3页Jiangsu Medical Journal

摘　　要：目的探讨微创经皮肾镜取石术(MPCNL)治疗肾盂和输尿管上段嵌顿结石的疗效。方法 84例肾盂和输尿管上段嵌顿结石患者随机均分为两组,观察组采用MPCNL治疗,对照组采用输尿管镜取石术治疗。比较两组手术时间、碎石成功率、住院时间、住院费用及并发症发生情况。结果与对照组比较,观察组手术时间短,住院时间及住院费用较高,碎石成功率也较高(P<0.01)。两组术后并发症发生率无统计学差异(P>0.05)。结论 MPCNL治疗肾盂和输尿管上段嵌顿结石能够提高碎石成功率,缩短手术时间,并发症少。Objective To investigate the efficacy of minimally invasive percutaneous nephrotithotomy（MPCNL） in the treatment of renal and upper ureteral incarcerated stone. Methods A total of 84 cases with renal and upper ureteral incarcerated stone was equally divided into two groups. Group A was treated with MPCNL and group B was treated with ureteroseopic lithotomy. The operative time, success rate of lithotripsy, hospital stay, hospitalization cost and complications were compared between two groups. Results Compared to group B,group A had shorter operative time and higher success rate of lithotripsy, longer hospital stay and more medical cost（P〈0.01）. The incidence rates of complications of two groups were similar （P〉0. 05 ）. Conclusion Treating the renal and upper ureteral incarcerated stone with MPCNL can improve the success rate of lithotripsy, shorten the operation time and reduce complications.

关 键 词：微创经皮肾镜取石术 嵌顿结石 

分 类 号：R691[医药卫生—泌尿科学]