输尿管镜技术与后腹腔镜取石术治疗感染性输尿管上段结石的临床对比  

Comparison of clinical efficacy between ureteroscopy and retroperitoneal laparoscopic lithotripsy in the treatment of infective upper ureteral calculi

作　　者：陈先国[1] 冯振华[1] 黄强[1] 彭业平[1] 梁浩[1] CHEN Xian-guo;FENG Zhen-hua;HUANG Qiang(Second District of Urinary Surgery,The People’s Hospital of Gaozhou City,Gaozhou 525200,China)

机构地区：[1]高州市人民医院泌尿外科二区,525200

出　　处：《中国现代药物应用》2018年第15期23-25,共3页Chinese Journal of Modern Drug Application

基　　金：茂名市科技计划项目(技术开发类)(项目编号:170515001701430)

摘　　要：目的对比输尿管镜技术与后腹腔镜取石术治疗感染性输尿管上段结石的临床价值。方法 150例感染性输尿管上段结石患者,采用随机数字表法分为A组和B组,各75例。A组行后腹腔镜取石术治疗,B组行输尿管镜钬激光碎石术,观察比较两组手术和术后相关指标、结石清除效果及术后并发症发生情况。结果所有患者顺利完成手术,A组手术时间、术后住院时间长于B组,差异有统计学意义(P<0.05);两组术中出血量对比,差异无统计学意义(P>0.05)。术后1、4周两组患者结石清除率比较,差异有统计学意义(P<0.05)。A组并发症发生率为4.00%,B组并发症发生率为13.33%,A组并发症发生率明显低于B组,差异有统计学意义(P<0.05)。结论在感染性输尿管上段结石治疗中,后腹腔镜取石术相较于输尿管镜手术,手术时间及术后恢复时间较长,但前者治疗效果及安全性更具优势,更值得推广。Objective To compare the clinical value between ureteroscopy and retroperitoneal laparoscopic lithotripsy in the treatment of infective upper ureteral calculi.Methods A total of 150 patients with infective upper ureteral calculi were divided into group A and group B according to the random number table method,75 cases in each group.Group A was treated with retroperitoneal laparoscopic lithotripsy,group B was treated with ureteroscopic holmium laser lithotripsy.The operative and postoperative related indicators,stone clearance effect and postoperative complications were observed and compared between the two groups.Results All patients successfully completed the surgery.The operative time and the postoperative hospitalization time of group A were significantly longer than those of group B,the differences were statistically significant(P<0.05).There was no statistically significant difference in the intraoperative blood loss between the two groups(P>0.05).The differences were statistically significant in the stone clearance rate at 1 week and 4 weeks after surgery between the two groups(P<0.05).The incidence of complications in the group A was 4.00%,which was significantly lower than 13.33%in the group B,the difference was statistically significant(P<0.05).Conclusion In the treatment of infective upper ureteral calculi,retroperitoneal laparoscopic lithotripsy is better than ureteroscopy,and the operative time and postoperative recovery time are longer,but the former is more effective and safer,and it is worth popularizing.

关 键 词：感染性输尿管上段结石 后腹腔镜取石术 输尿管镜碎石 并发症 

分 类 号：R699.4[医药卫生—泌尿科学]