CAJ | 학술논문

目的探讨经皮肾镜取石术(PCNL)与经尿道输尿管镜碎石术(URL)两种手术方式在输尿管上段嵌顿性结石治疗中的疗效差异。方法将120例输尿管上段嵌顿性结石患者随机分为经皮肾镜组(PCNL组)和经尿道输尿管镜组(URL组)，两组各60例，分别对术后各项情况进行比较分析。结果 PCNL组患者的手术时间、肉眼血尿时间及术后住院天数均长于URL组，但术后3 d结石清除率及术后30 d结石清除率明显高于经URL组，各项比较均有显著性差异(P＜0.05)。结论 PCNL治疗输尿管上段嵌顿性结石较URL有明显的优势，虽创伤较URL大，但其结石清除率高，仍应成为输尿管上段嵌顿性结石的首选术式。
목적탐토경피신경취석술(PCNL)여경뇨도수뇨관경쇄석술(URL)량충수술방식재수뇨관상단감돈성결석치료중적료효차이。방법장120례수뇨관상단감돈성결석환자수궤분위경피신경조(PCNL조)화경뇨도수뇨관경조(URL조)，량조각60례，분별대술후각항정황진행비교분석。결과 PCNL조환자적수술시간、육안혈뇨시간급술후주원천수균장우URL조，단술후3 d결석청제솔급술후30 d결석청제솔명현고우경URL조，각항비교균유현저성차이(P＜0.05)。결론 PCNL치료수뇨관상단감돈성결석교URL유명현적우세，수창상교URL대，단기결석청제솔고，잉응성위수뇨관상단감돈성결석적수선술식。
Objective To compare the clinical effect of percutaneous nephrolithotomy and transurethral ureteroscopy lithotripsy on the incaecerated upper ureteral calculi. Methods 120 patients with incaecerated upper ureteral calculi were divided randomly into percutaneous nephrolithotomy group(PCNL group) (60 cases)and transurethral ureteroscopy lithotripsy group(URL group) (60 cases),and to analyse the postoperative situation of two groups. Results The outcome of operating time、gross hematuria time and hospital stay of PCNL group were signiifcantly longer than that of URL group,but the stone free rate of PCNL group was signiifcantly superior to that of URL group at 3d and 30d after surgery(all P<0.05). Conclusion The clinical effect of PCNL is superior to that of URL on the incaecerated upper ureteral calculi, PCNL has high stone free rate though its damage is higer than URL for the moment,it is ought to considered as the ifrst choice of the incaecerated upper ureteral calculi.