CAJ | 학술논문

目的：探讨经皮肾穿刺取石术治疗嵌顿性输尿管上段结石的临床疗效。方法回顾性分析2006年6月～2012年11月期间于我院行经皮肾穿刺取石术治疗的186例嵌顿性输尿管上段结石患者的临床资料。结果全部186例患者均顺利完成手术，手术成功率为100%；其中Ⅰ期结石取净率为98.4%，总体结石取净率为100%；手术时间为（52.9±5.2）min，术中出血量为（91.8±33.6）mL，住院时间为（5.3±0.4）d；术后并发症发生率为7.5%；结石复发率为4.4%。结论在具备严格掌握手术适应证并具有熟练的手术操作技术的前提下，采用经皮肾穿刺取石术治疗输尿管上段嵌顿性结石疗效显著，能够有效清除结石，且并发症少，值得临床推广。
목적：탐토경피신천자취석술치료감돈성수뇨관상단결석적림상료효。방법회고성분석2006년6월～2012년11월기간우아원행경피신천자취석술치료적186례감돈성수뇨관상단결석환자적림상자료。결과전부186례환자균순리완성수술，수술성공솔위100%；기중Ⅰ기결석취정솔위98.4%，총체결석취정솔위100%；수술시간위（52.9±5.2）min，술중출혈량위（91.8±33.6）mL，주원시간위（5.3±0.4）d；술후병발증발생솔위7.5%；결석복발솔위4.4%。결론재구비엄격장악수술괄응증병구유숙련적수술조작기술적전제하，채용경피신천자취석술치료수뇨관상단감돈성결석료효현저，능구유효청제결석，차병발증소，치득림상추엄。
Objective To study the clinical efficacy of percutaneous nephrolithotomy on impacted upper ureteral calculi. Methods 186 cases of patients with impacted upper ureteral calculi treated with percutaneous nephrolithotomy from June 2006 to November 2012 in our hospital were analyzed retrospectively. Results The operations of all the 186 patients were successful with a successful rate of 100%; the stone-free rate of phaseⅠwas 98.4%and the overall stone-free rate was 100%;the operation time was (52.9±5.2) min, intraoperative blood loss was (91.8±33.6) mL, length of hospital stay was (5.3±0.4)d, incidence of postoperative complications was 7.5% and the stone relapse rate was 4.4%. Conclusion The clinical efficacy of percutaneous nephrolithotomy on impacted upper ureteral calculi is obvious under the premise of strictly controlling the surgical indications and having skillful operation technique, which can effectively remove the calculi with fewer complications and is worthy of clinical promotion.