后腹腔镜与经皮肾镜治疗复杂性输尿管上段结石疗效比较  

Retroperitoneal Laparoscopic and Complexity of Percutaneous Nephroscope Treatment of ureter upside stone curative effect comparison

作　　者：梅傲冰 贾本忠[2] 孙发[2] 孙旭[3] 陈梅 梁显泉 何翔 康婷 刘志明 Mei Aobing(Corresponding author);Jia Benzhong;Sun Fa;Sun Xu;Chen Mei;Liang Xianquan;He Xiang;Kang Ting;Liu Zhiming(The Division of Urology at The Second People's Hospital of Guiyang , GuiyangGuizhou. 550081.China;The Division of Urology at The Affiliated Hospital ofGuizhou Medical University,Guiyang 550004,China;The Division of Pediatric Surgery at The Affiliated Hospital of Guizhou Medical University, Guiyang550004,China)

机构地区：[1]贵州省贵阳市第二人民医院泌尿外科,550081 [2]贵州医科大学附属医院泌尿外科,550004 [3]贵州医科大学附属医院小儿外科,550004

出　　处：《中国社区医师》2016年第26期60-61,共2页Chinese Community Doctors

基　　金：贵州省卫计委科学技术基金资助项目(黔卫发[2013]71号gzwkj2013-1-021);贵州省科技厅基金资助项目(黔科合J字[2012]2053号);贵阳市社会发展与民生科技计划基金资助项目(筑科合[20141001]66号)~~

摘　　要：目的:比较后腹腔镜与经皮肾镜治疗复杂性输尿管上段结石的疗效。方法:收治复杂性输尿管上段结石患者84例,随机分为观察组与对照组,每组42例。观察组采用后腹腔镜输尿管切开取石术治疗,对照组采用微创经皮肾镜取石术治疗,对比两组术中出血量、住院时间以及术后3 d结石清除率。结果:观察组住院时间、术中出血量低于对照组,差异具有统计学意义(P<0.05)。观察组结石清除率明显优于对照组,差异具有统计学意义(P<0.05)。结论:后腹腔镜输尿管切开取石术与微创经皮肾镜取石术治疗复杂性输尿管上段结石的临床疗效显著。采用后腹腔镜输尿管切开术的患者出血量较少,结石清除率更理想。Objective: To analysis after laparoscopic and complexity of percutaneous nephroscope treatment of ureter upside stone curative effect. Methods:Select from February 2015 to February 2015 in our hospital during the period of implementation on the surgical treatment of 84 cases of ureter upside stone patients were randomly divided into observation group and control group, each group of 42 patients. Observation group after using laparoscope ureter incision nephrolithotomy treatment, control group using minimally invasive percutaneous nephrolithotomy,compared two groups of patients with intraoperative blood loss, hospital stay and postoperative patients with 3 d calculi clearance rate. Results: The observation group of patients with intraoperative blood loss, length of hospital stay were lower than the control group patients, contrast the difference between the two groups are statistically significant (P< 0.05). At the same time with 3 d control group after stone clearance rate was 92.86% (39/42), group 3 d postoperatively in patients with calculi clearance rate was 100% (42/42), observation group of patients with calculi clearance rate is more ideal. Conclusion: Laparoscopic and percutaneous nephroscope after treatment,are all on the complexity of clinical treatment of ureter upside stone way of effective,clinical effect is significant, but after laparoscopic ureteral dissection in patients withless blood loss, stone clearance rate is more ideal.

关 键 词：后腹腔镜 经皮肾镜取石术 复杂性输尿管上段结石 

分 类 号：R699.4[医药卫生—泌尿科学]