中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
12期
1797-1798
,共2页
输尿管结石%输尿管镜检查%肾造口术%经皮
輸尿管結石%輸尿管鏡檢查%腎造口術%經皮
수뇨관결석%수뇨관경검사%신조구술%경피
Ureteral calculi%Ureteroscopy%Nephrostomy%percutaneous
目的 探讨微创经皮肾穿刺碎石术(MPCNL)治疗复杂性输尿管上段结石的临床效果.方法 复杂性输尿管上段结石90例,根据治疗方式不同分为:观察组45例,采用MPCNL;对照组45例,采用经尿道输尿管镜下碎石术治疗(URL).结果 观察组手术时间(112.5±12.4)min、手术出血量(51.3±3.7)ml,多于对照组[(34.8±10.5)min、(12.5±4.6)ml](P＜0.05)；观察组手术成功率为95.6％、碎石率为97.8％,均高于对照组(71.1％、91.1％)(P＜0.05).结论 URL在手术时间、术中出血优于MPCNL,但在手术成功率、结石清除率方面较MPCNL低.两种手术均安全可靠,无严重并发症.
目的 探討微創經皮腎穿刺碎石術(MPCNL)治療複雜性輸尿管上段結石的臨床效果.方法 複雜性輸尿管上段結石90例,根據治療方式不同分為:觀察組45例,採用MPCNL;對照組45例,採用經尿道輸尿管鏡下碎石術治療(URL).結果 觀察組手術時間(112.5±12.4)min、手術齣血量(51.3±3.7)ml,多于對照組[(34.8±10.5)min、(12.5±4.6)ml](P＜0.05)；觀察組手術成功率為95.6％、碎石率為97.8％,均高于對照組(71.1％、91.1％)(P＜0.05).結論 URL在手術時間、術中齣血優于MPCNL,但在手術成功率、結石清除率方麵較MPCNL低.兩種手術均安全可靠,無嚴重併髮癥.
목적 탐토미창경피신천자쇄석술(MPCNL)치료복잡성수뇨관상단결석적림상효과.방법 복잡성수뇨관상단결석90례,근거치료방식불동분위:관찰조45례,채용MPCNL;대조조45례,채용경뇨도수뇨관경하쇄석술치료(URL).결과 관찰조수술시간(112.5±12.4)min、수술출혈량(51.3±3.7)ml,다우대조조[(34.8±10.5)min、(12.5±4.6)ml](P＜0.05)；관찰조수술성공솔위95.6％、쇄석솔위97.8％,균고우대조조(71.1％、91.1％)(P＜0.05).결론 URL재수술시간、술중출혈우우MPCNL,단재수술성공솔、결석청제솔방면교MPCNL저.량충수술균안전가고,무엄중병발증.
Objective To explore the effect of MPCNL in the treatment of complex proximal ureteral calculi.Methods 90 cases were involved in treatment of complex proximal ureteral calculi in our hospital.MPCNL group were 45 cases and U RL group surgery were 45 cases.Results The operation time,bleeding,single surgery success rate,stone-free rate after surgery success for URL and MPCNL were(34.8 ± 10.5) minutes and ( 112.5 ± 12.4) minutes,(12.5 ± 4.6)ml and (51.3 ±3.7)ml,71.1％ and 95.6％,91.1％ and 97.8％ respectively(P ＜ 0.05).Conclusions The operntive time of URL is shorter,blood loss of URL is less than those of MPCNL,but the success rate of surgery and stone-free rate of URL is not higher than those of MPCNL.Both treatment methods are safe and reliable without serious complications.
