经尿道输尿管镜碎石与微创经皮肾镜取石治疗输尿管上段嵌顿性结石的效果分析  

Effect analysis of transurethral ureteroscopic lithotripsy and minimally invasive percutaneous nephrolithotomy in the treatment of upper ureteral incarcerated stones

作　　者：李文欢 徐伟杰 LI Wen-huan;XU Wei-jie(Department of Urinary Surgery,People＇s Hospital of Shanwei City in Guangdong Province,Shantou 516600,China)

机构地区：[1]广东省汕尾市人民医院泌尿外科,广东汕尾516600

出　　处：《中国当代医药》2018年第23期88-90,共3页China Modern Medicine

摘　　要：目的探究经尿道输尿管镜碎石(URL)和微创经皮肾镜取石(MPCNL)治疗输尿管上段嵌顿性结石的效果。方法选取2016年1月~2017年6月我院收治的72例输尿管上段嵌顿性结石患者作为研究对象,采用随机数字表法将其分为观察组与对照组,每组各36例。对照组采用URL进行治疗,观察组采用MPCNL进行治疗,观察比较两组患者的手术时间、术中出血量、术后3 d及30 d的结石清除率及术后并发症发生率,以探究两种方法的治疗效果。结果两组患者的手术时间和术中出血量比较,差异无统计学意义(P>0.05);观察组术后3、30 d的结石清除率明显高于对照组,差异有统计学意义(P<0.05);两组患者的术后并发症总发生率比较,差异无统计学意义(P>0.05)。结论将MPCNL应用于输尿管上段嵌顿性结石的临床治疗,可以明显提高结石的清除率,是一种有效的治疗方法。Objective To explore the effect of transurethral ureteroscopic lithotripsy（URL） and minimally invasive percutaneous nephrolithotomy（MPCNL） in the treatment of upper ureteral incarcerated stones. Methods From January2016 to June 2017, 72 patients with upper urethral incarcerated calculi were selected as the subjects, and divided into observation group and control group by random number table method, 36 cases in each group. The control group was treated with URL and the observation group was treated with MPCNL. The operation time and intraoperative blood loss were observed and compared between the two groups. The stone clearance rate and postoperative complications were observed 3 and 30 days after operation to explore the therapeutic effect of the two methods. Results The time of operation and the amount of intraoperative bleeding in the observation group were not significantly different from those in the control group（P〈0.05）. The stone removal rate in the observation group was significantly higher than that in the control group on the 3 d and 30 d after operation, and the difference was statistically significant（P〈0.05）. There was no significant difference in the total incidence of postoperative complications between the two groups（P〈0.05）. Conclusion The application of MPCNL in the treatment of upper ureteral incarcerated calculi can obviously improve the removal rate of stones and is an effective treatment method.

关 键 词：输尿管上段嵌顿性结石 经尿道输尿管镜碎石 微创经皮肾镜取石 结石清除率 并发症 

分 类 号：R699[医药卫生—泌尿科学]