中国微创外科杂志
中國微創外科雜誌
중국미창외과잡지
CHINESE JOURNAL OF MINIMALLY INVASIVE SURGERY
2014年
11期
1002-1004
,共3页
输尿管结石%输尿管镜%经皮肾镜取石%气压弹道碎石
輸尿管結石%輸尿管鏡%經皮腎鏡取石%氣壓彈道碎石
수뇨관결석%수뇨관경%경피신경취석%기압탄도쇄석
Ureteral calculi%Ureteroscope%Percutaneous nephrolithotomy%Pneumatic lithotripsy
目的:比较微创经皮肾镜取石术( minimally invasive percutaneous nephrolithotomy ,MPCNL)与经尿道输尿管镜碎石( ureteroscopic lithotripsy ,URL)联合封堵器治疗输尿管上段嵌顿结石的疗效。方法我院2011年4月~2013年7月收治单侧输尿管上段嵌顿结石89例,42例行MPCNL,47例行URL碎石。结果2组一次性碎石成功率分别为97.6%(41/42)、95.7%(45/47),无统计学差异(χ2=0.000,P=1.000);结石清除率分别为97.5%(40/41)、95.6%(43/45),无统计学差异(χ2=0.000,P=1.000);术后并发症发生率分别为7.1%(3/42)、8.5%(4/47),无统计学差异(χ2=0.000,P=1.000);手术时间分别为(80.2±11.9) min和(65.1±10.9) min,有统计学差异( t=6.248,P=0.000);住院时间分别为(7.3±1.5) d和(3.5±1.5)d,有统计学差异(t=11.931,P=0.000)。结论术中注意手术技巧,MPCNL与输尿管镜联合封堵器处理输尿管上段结石均可取得满意的效果。
目的:比較微創經皮腎鏡取石術( minimally invasive percutaneous nephrolithotomy ,MPCNL)與經尿道輸尿管鏡碎石( ureteroscopic lithotripsy ,URL)聯閤封堵器治療輸尿管上段嵌頓結石的療效。方法我院2011年4月~2013年7月收治單側輸尿管上段嵌頓結石89例,42例行MPCNL,47例行URL碎石。結果2組一次性碎石成功率分彆為97.6%(41/42)、95.7%(45/47),無統計學差異(χ2=0.000,P=1.000);結石清除率分彆為97.5%(40/41)、95.6%(43/45),無統計學差異(χ2=0.000,P=1.000);術後併髮癥髮生率分彆為7.1%(3/42)、8.5%(4/47),無統計學差異(χ2=0.000,P=1.000);手術時間分彆為(80.2±11.9) min和(65.1±10.9) min,有統計學差異( t=6.248,P=0.000);住院時間分彆為(7.3±1.5) d和(3.5±1.5)d,有統計學差異(t=11.931,P=0.000)。結論術中註意手術技巧,MPCNL與輸尿管鏡聯閤封堵器處理輸尿管上段結石均可取得滿意的效果。
목적:비교미창경피신경취석술( minimally invasive percutaneous nephrolithotomy ,MPCNL)여경뇨도수뇨관경쇄석( ureteroscopic lithotripsy ,URL)연합봉도기치료수뇨관상단감돈결석적료효。방법아원2011년4월~2013년7월수치단측수뇨관상단감돈결석89례,42례행MPCNL,47례행URL쇄석。결과2조일차성쇄석성공솔분별위97.6%(41/42)、95.7%(45/47),무통계학차이(χ2=0.000,P=1.000);결석청제솔분별위97.5%(40/41)、95.6%(43/45),무통계학차이(χ2=0.000,P=1.000);술후병발증발생솔분별위7.1%(3/42)、8.5%(4/47),무통계학차이(χ2=0.000,P=1.000);수술시간분별위(80.2±11.9) min화(65.1±10.9) min,유통계학차이( t=6.248,P=0.000);주원시간분별위(7.3±1.5) d화(3.5±1.5)d,유통계학차이(t=11.931,P=0.000)。결론술중주의수술기교,MPCNL여수뇨관경연합봉도기처리수뇨관상단결석균가취득만의적효과。
Objective To compare the efficacy of ureteroscopic lithotripsy ( URL) combined with occlusion devices and mini-invasive percutaneous nephrolithotomy ( MPCNL) in the treatment of upper incarcerated ureteral stones. Methods A total of 89 patients with unilateral upper ureteral calculi were enrolled from April 2011 to July 2013, 42 of which were treated with MPCNL and 47 of which were treated by rigid ureteroscopic lithotripsy combined with occlusion devices. Resuts There were no significant differences in the success rate of primary lithotripsy (97.6% vs.95.7%, χ2 =0.000, P=1.000).No marked differences were detected in the stone clearance rate (97.5% vs.95.6%, χ2 =0.000, P=1.000), complication rate (7.1% vs.8.5%, χ2 =0.000, P=1.000) and operation time [(80.2 ±11.9) min vs.(65.1 ±10.9) min, t =6.248, P=0.000] between the two groups.The hospitalization time in the URL group was (3.5 ±1.5) d, which was obviously shorter than that in the MPCNL group , in which it was (7.3 ±1.5) d(t=11.931, P=0.000). Conclusion URL combined with occlusion devices can obtain satisfactory results as well as MPCNL in the treatment of upper ureteral calculi by proper case selection and careful operation performance .