| 摘要: |
| 目的比较经皮肾镜碎石术（PCNL）与经输尿管镜（联合封堵器）碎石术（URL）治疗输尿管上段结石的疗效及安全性。方法回顾性分析93例输尿管上段结石患者的临床资料。根据手术方式不同将患者分为两组，A组（53例）采用PCNL治疗，B组（40例）采用URL联合封堵器治疗，比较两组患者在结石清除率、术中出血量、手术并发症发生率、住院时间及住院费用等方面的差别。结果两组患者一般资料比较均无统计学差异（均P＞0.05）。A组患者较B组结石清除率高（98.11%vs85.00%，P＜0.05），而术中出血量、住院时间、住院费用亦均高于B组（均P＜0.05）；两组患者手术并发症发生率比较，差异无统计学意义（P＞0.05）。结论PCNL及URL联合封堵器治疗输尿管上段结石各有优缺点；可根据医院实际情况（如器械条件）、术者习惯、患者意愿等情况选择术式。 |
| 关键词: 输尿管结石 经皮肾镜碎石术 经输尿管镜碎石术 输尿管封堵器 |
| DOI： |
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| Comparison of percutaneous nephrolithotomy with ureteroscopy combined with ureteral occlusion device in treatment of upper ureteral calculi |
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WANG Weiqiang,LI Sheng,CHEN Yinghe
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Yiwu Hospital of Wenzhou Medical University
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| Abstract: |
| Objective To compare the efficacy of percutaneous nephrolithotomy (PCNL) with ureteroscopic lithotomy (URL) combined with ureteral occlusion device in treatment of upper ureteral calculi. Methods The clinical data of 93 patients with upper ureteral calculi treated by PCNL (n=53, group A) or URL (n=40, group B) were retrospectively analyzed. The stone clearance rate, intraoperative blood loss, length of hospital stay, hospitalization expense and complications were compared between two groups. Results The stone clearance rate (98.11% vs 85.00%), intraoperative blood loss, length of hospital stay and hospitalization expense of group A were higher than those of group B (all P＜0.05)；while there was no significant difference in the incidence of complications between groups (P ＞0.05). Conclusion PCNL and URL combined with ureteral occlusion device have their own advantages in treatment of upper ureteral calculi. The choice between two methods depends on availability of e- quipments, the experience of operators and the intent of patients. |
| Key words: Ureteric calculi Percutaneous nephrolithotomy Ureteroscopic lithotripsy Ureteral occlusion device |
