不同微创术式治疗复杂性输尿管上段结石的效果对比分析  

Comparison and Analysis of the Effect of Different Minimally Invasive Surgical Treatment on the Complex Upper Ureteral Calculi

作　　者：张刚[1,2] 于芹超[1] ZHANG Gang;YU Qinchao(Department of Urology,Affiliated Hospital of Qingdao University,Qingdao Shandong 266000,China;Department of Urology,Laiwu Central Hospital,Xinwen Mining Group,Laiwu Shandong 271103,China)

机构地区：[1]青岛大学附属医院泌尿外科,山东青岛266000 [2]新汶矿业集团莱芜中心医院泌尿外科,山东莱芜271103

出　　处：《中国卫生标准管理》2018年第8期53-54,共2页China Health Standard Management

摘　　要：目的对比不同微创术式治疗复杂性输尿管上段结石的效果。方法回顾性分析2016年1月—2017年12月期间我院127例复杂性输尿管上段结石患者的临床资料,根据治疗方式将其分为微创经皮肾镜取石术(MPCNL)组45例、后腹腔镜输尿管切开取石术(RLU)组40例、体外冲击波碎石(ESWL)组42例。通过影像学对比三组治疗4周时的结石排净率(残留结石<4 mm),并评价三组术中出血量、术后1 d时的疼痛度。结果三组术后VAS评分对比差异无统计学意义(P>0.05);RLU组与ESWL组术中出血量低于MPCNL组(P<0.05)。MPCNL组与RLU组治疗4周时的结石排净率高于ESWL组(P<0.05)。结论 RLU具有出血少、结石清除率高等特点,适于临床应用。Objective To compare the effect of different minimally invasive procedures for the treatment of complicated upper ureteral calculi.Methods From January 2016 to December 2017,127 patients with complex upper ureteral calculi were divided into MPCNL group 45 cases,RLU group 40 cases,and ESWL group 42 cases.The stone removal rate(residual stone<4 mm)in the three groups was compared with the three groups,and the amount of bleeding in the three groups and the degree of pain at 1 d after operation were evaluated.Results RLU group and ESWL group,the blood volume was lower than that in MPCNL group(P<0.05).The rate of stone exclusion in MPCNL group and RLU group for the treatment of 4W was higher than that in ESWL group(P<0.05).Conclusion RLU has the characteristics of low bleeding and high stone clearance,which is suitable for clinical application.

关 键 词：URSL ESWL mini-PCNL RLU 复杂性输尿管上段结石 

分 类 号：R693.4[医药卫生—泌尿科学]