海南医学
海南醫學
해남의학
HAINAN MEDICAL JOURNAL
2014年
21期
3212-3214
,共3页
覃庆平%王伟%李刚%刘杰%周毅%杨剑文%姚远%卢启海%陈翔%陈悦康
覃慶平%王偉%李剛%劉傑%週毅%楊劍文%姚遠%盧啟海%陳翔%陳悅康
담경평%왕위%리강%류걸%주의%양검문%요원%로계해%진상%진열강
微创经皮肾镜%后腹腔镜%输尿管上段结石
微創經皮腎鏡%後腹腔鏡%輸尿管上段結石
미창경피신경%후복강경%수뇨관상단결석
Minimally invasive percutaneous nephroscopy%Retroperitoneal laparoscopy%Upper ureteral calculi
目的：比较微创经皮肾镜(mPCNL)与后腹腔镜(RLU)手术治疗输尿管上段结石的临床疗效。方法回顾性分析69例输尿管上段结石患者的临床资料。其中采用mPCNL治疗33例(A组)，采用RLU治疗36例(B组)，比较两组的手术时间、住院时间、手术成功率、结石清除率及并发症发生率。结果 A组手术时间明显短于B组[(38.8±5.2) min vs (60.5±8.5) min，P<0.05]，差异有统计学意义。两组的术后住院时间、手术成功率、结石清除率及手术并发症发生率分别为(6.6±1.1) d vs (6.2±1.3) d、96.96%vs 94.44%、100%vs 100%、6.25%vs 5.88%，差异均无统计学意义(P>0.05)。两组均未出现大出血病例。结论 mPCNL和RLU均是治疗输尿管上段结石安全可靠、疗效肯定的手术方式，应根据具体情况及患者意愿制定出个体化治疗方案，以达降低损伤、减少并发症、提高清石率的治疗目的。
目的：比較微創經皮腎鏡(mPCNL)與後腹腔鏡(RLU)手術治療輸尿管上段結石的臨床療效。方法迴顧性分析69例輸尿管上段結石患者的臨床資料。其中採用mPCNL治療33例(A組)，採用RLU治療36例(B組)，比較兩組的手術時間、住院時間、手術成功率、結石清除率及併髮癥髮生率。結果 A組手術時間明顯短于B組[(38.8±5.2) min vs (60.5±8.5) min，P<0.05]，差異有統計學意義。兩組的術後住院時間、手術成功率、結石清除率及手術併髮癥髮生率分彆為(6.6±1.1) d vs (6.2±1.3) d、96.96%vs 94.44%、100%vs 100%、6.25%vs 5.88%，差異均無統計學意義(P>0.05)。兩組均未齣現大齣血病例。結論 mPCNL和RLU均是治療輸尿管上段結石安全可靠、療效肯定的手術方式，應根據具體情況及患者意願製定齣箇體化治療方案，以達降低損傷、減少併髮癥、提高清石率的治療目的。
목적：비교미창경피신경(mPCNL)여후복강경(RLU)수술치료수뇨관상단결석적림상료효。방법회고성분석69례수뇨관상단결석환자적림상자료。기중채용mPCNL치료33례(A조)，채용RLU치료36례(B조)，비교량조적수술시간、주원시간、수술성공솔、결석청제솔급병발증발생솔。결과 A조수술시간명현단우B조[(38.8±5.2) min vs (60.5±8.5) min，P<0.05]，차이유통계학의의。량조적술후주원시간、수술성공솔、결석청제솔급수술병발증발생솔분별위(6.6±1.1) d vs (6.2±1.3) d、96.96%vs 94.44%、100%vs 100%、6.25%vs 5.88%，차이균무통계학의의(P>0.05)。량조균미출현대출혈병례。결론 mPCNL화RLU균시치료수뇨관상단결석안전가고、료효긍정적수술방식，응근거구체정황급환자의원제정출개체화치료방안，이체강저손상、감소병발증、제고청석솔적치료목적。
Objective To compare the clinical efficacy of minimally invasive treatment of upper ureteral cal-culus by minimally invasive percutaneous nephrolithotripsy (mPCNL) and retroperitoneal laparoscopic ureterolithoto-my (RLU). Methods The clinical data of 69 cases of upper ureteral calculi was retrospectively analyzed. Group A (33 patients) received mPCNL, and group B (36 patients) was treated by RLU. Results The operation time was sig-nificantly shorter in group A than group B [(38.8±5.2) min vs (60.5±8.5) min, P<0.05]. There was no statistically sig-nificant different in postoperative hospital stay [(6.6±1.1) d vs (6.2±1.3) d]., the successful rate of operation (96.96%vs 94.44%), stone-free rate (100% vs 100%), operation related complications rate (6.25% vs 5.88%) between two groups, all with P>0.05. Conclusion The mPCNL and RLU are both effective and safe methods for ureteral calculi. In order to reduce the damages and complications, improve the stone-free rate, we should choose different procedures according to the actual situation.
