CAJ | 학술논문

目的：通过比较封堵取石导管联合 URL 与 PCNL 手术效果，探索封堵取石导管临床应用价值。方法：2013年1月~2013年12月共收治60例输尿管上段结石患者，按单盲随机分为封堵取石导管联合输尿管镜碎石取石术和经皮肾镜碎石取石术两组，通过分析平均手术时间、术中出血量、术中输尿管撕脱、术后镇痛药使用、术后并发症及患者住院时间、医疗费用等指标，进行疗效比较。结果：两组在平均手术时间、术中出血量、术后镇痛药使用、结石残留及住院时间、医疗费用等方面存在差异，有统计学意义(P ＜0??05)。结论：封堵取石导管联合输尿管镜碎石取石术在治疗输尿管上段结石中临床实际应用中安全有效，价值高，值得推广。
목적：통과비교봉도취석도관연합 URL 여 PCNL 수술효과，탐색봉도취석도관림상응용개치。방법：2013년1월~2013년12월공수치60례수뇨관상단결석환자，안단맹수궤분위봉도취석도관연합수뇨관경쇄석취석술화경피신경쇄석취석술량조，통과분석평균수술시간、술중출혈량、술중수뇨관시탈、술후진통약사용、술후병발증급환자주원시간、의료비용등지표，진행료효비교。결과：량조재평균수술시간、술중출혈량、술후진통약사용、결석잔류급주원시간、의료비용등방면존재차이，유통계학의의(P ＜0??05)。결론：봉도취석도관연합수뇨관경쇄석취석술재치료수뇨관상단결석중림상실제응용중안전유효，개치고，치득추엄。
To-explore-the-clinical-efficacy-of-stone-blocking-catheter-combined-with-ureteroscopy-litho-tri-psy-in-the-treatment-of-upper-ureteral-calculi-.Methods-:Si-xty-patients-with-the-upper-ureteral-stones-were-treated-from-Jan-.2013-to-Dec-.2013-,and-rando-ml-y-divided-into-two-groups-(stone-catheter-block-combined-with-ureterosco-py-lithotri-psy-or-percutaneous-nephrolithotripsy-).The-data-of-average-operation-time-,blood-loss-,intraoperati-ve-ure-teral-avulsi-on-,postoperative-anal-gesic-use-,postoperative-co-mplicati-ons-and-hospital-stay-,medical-expenses-and-oth-er-indicators-were-compared.Results-:The-differences-were-statisticall-y-si-gnificant-in-the-average-operation-time-,intr-aoperati-ve-blood-loss-,postoperative-anal-gesic-use-,stone-resi-dues-,hospital-stay-and-medical-expenses-between-two-groups-(P-<0??05-).Conclusions-:Stone-blocking-catheter-combined-with-ureteroscopy-lithotri-psy-is-safe-and-effecti-ve-in-the-treatment-of-upper-ureteral-stones-.