微创经皮肾镜碎石术与经尿道输尿管镜碎石术治疗嵌顿性输尿管上段结石的效果比较  

Effect comparison of minimally invasive percutaneous nephrolithotripsy and transurethral ureteroscopic lithotripsy in treatment of impacted upper ureteral calculi

作　　者：张宁 甘之录 阿力木江·阿不都热西提 胡晓刚 陈文新 ZHANG Ning;GAN Zhi-lu;Alimujiang·Abudurexiti;HU Xiao-gang;CHEN Wen-xin(Department of Urology Surgery,the Occupational Disease Hospital of Xinjiang Uigur Autonomous Region,Urumcqi 830091,China)

机构地区：[1]新疆维吾尔自治区职业病医院泌尿外科

出　　处：《中国当代医药》2019年第31期75-78,共4页China Modern Medicine

基　　金：新疆维吾尔自治区职业病医院院内项目(2018ZYBKY09)

摘　　要：目的观察并比较微创经皮肾镜碎石术与经尿道输尿管镜碎石术治疗嵌顿性输尿管上段结石的临床效果。方法选取2017年2月~2019年2月于我院就诊的76例嵌顿性输尿管上段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(n=38)和对照组(n=38)。观察组患者采用微创经皮肾镜钬激光碎石术进行治疗,对照组患者采用经尿道输尿管镜钬激光碎石术进行治疗。比较两组患者的手术时间、住院时间、并发症发生情况以及术后3 d、术后1个月的结石清除率。结果观察组患者的手术时间和住院时间长于对照组,差异均有统计学意义(P<0.05)。观察组患者术后3 d的结石清除率高于对照组,差异有统计学意义(P<0.05)。观察组患者的术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论相比于经尿道输尿管镜碎石术,临床应用微创经皮肾镜碎石术治疗嵌顿性输尿管上段结石,结石清除率较高且术后并发症较低,值得具有条件的医院推广应用。Objective To observe and compare the clinical effect of minimally invasive percutaneous nephrolithotripsy and transurethral ureteroscopic lithotripsy in the treatment of impacted upper ureteral calculi.Methods A total of 76 patients with impacted upper ureteral calculi treated in our hospital from February 2017 to February 2019 were enrolled in this study.The patients were divided into the observation group(n=38)and the control group(n=38)according to the random number table method.The control group was treated with transurethral ureteroscopic lithotripsy,while the observation group was treated with minimally invasive percutaneous nephrolithotripsy.The operative time,time of hospitalization,complications and calculi clearance rate for 3 days and 1 month after surgery were compared between the two groups.Results The operation time and the time of hospitalization in the observation group were longer than those in the control group,the differences were statistically significant(P<0.05).The calculi clearance rate for 3 days after surgery in the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion Compared with transurethral ureteroscopic lithotripsy,minimally invasive percutaneous nephrolithotripsy is effective clinically,which had higher removal rate and lower incidence of complications in the treatment of impacted upper ureteral calculi.It is worthy to promote the application in qualified hospitals.

关 键 词：嵌顿 输尿管上段结石 微创经皮肾镜碎石术 输尿管镜碎石术 

分 类 号：R699.4[医药卫生—泌尿科学]