CAJ | 학술논문

目的：评估输尿管软镜碎石术与经皮肾镜碎石术治疗直径10～20 mm肾下盏结石的临床疗效。方法以45例直径10～20 mm肾下盏结石患者为研究对象，其中20例采用输尿管软镜碎石术治疗，25例采用经皮肾镜碎石术治疗，针对两种不同手术方式临床效果进行比较。应用SPSS 16．0统计软件行统计学分析。结果输尿管软镜碎石组和经皮肾镜碎石组的手术时间分别为（72．5±18．2）分钟和（40．8±9．6）分钟，碎石成功率分别为85％和100％。结论与输尿管软镜碎石术相比较采用经皮肾镜取石术治疗直径10～20 mm肾下盏结石效果显著，是治疗肾下盏结石的可靠选择。
목적：평고수뇨관연경쇄석술여경피신경쇄석술치료직경10～20 mm신하잔결석적림상료효。방법이45례직경10～20 mm신하잔결석환자위연구대상，기중20례채용수뇨관연경쇄석술치료，25례채용경피신경쇄석술치료，침대량충불동수술방식림상효과진행비교。응용SPSS 16．0통계연건행통계학분석。결과수뇨관연경쇄석조화경피신경쇄석조적수술시간분별위（72．5±18．2）분종화（40．8±9．6）분종，쇄석성공솔분별위85％화100％。결론여수뇨관연경쇄석술상비교채용경피신경취석술치료직경10～20 mm신하잔결석효과현저，시치료신하잔결석적가고선택。
Objective To compare the clinical efficacy of flexible ureteroscopy and percutaneous nephrolitho-tomy lithotomy for treatment of lower calyceal calculi beteen 10 -20mm. Methods 20 cases of lower calyceal calculi were treated by flexible ureteroscopy and 25 cases by percutaneous nephrolithotomy and their clinical effects were compared. SPSS version 16 was used for statistical analysis. Results For flexible ureteroscopy and percutaneous nephrolithotomy the operationtime was (72 . 5 ± 18 . 2 )min and (40 . 8 ± 9 . 6 )min and the success rate was 85% and 100% respectively. Conclusions For the treatment of lower calyceal calculi 10~20mm in di-ameter percutaneous nephrolithotomy is the better choice.