CAJ | 학술논문

将62例输尿管上段＞15 mm结石患者随机分组,分别行后腹膜腹腔镜输尿管切开取石(RPUL)和经皮肾镜碎石取石(PCNL)治疗(30和32例).两者患者年龄、性别、结石位置及大小、手术时间、手术成功率、结石清除率及双J管留置时间差异,均无统计学意义;RPUL较PCNL治疗术中出血量、术后额外镇痛剂使用率、住院时间、术后相关并发症发生率均低,差异有统计学意义(均P＜0.05).表明RPUL术优点多,疗效好.
장62례수뇨관상단＞15 mm결석환자수궤분조,분별행후복막복강경수뇨관절개취석(RPUL)화경피신경쇄석취석(PCNL)치료(30화32례).량자환자년령、성별、결석위치급대소、수술시간、수술성공솔、결석청제솔급쌍J관류치시간차이,균무통계학의의;RPUL교PCNL치료술중출혈량、술후액외진통제사용솔、주원시간、술후상관병발증발생솔균저,차이유통계학의의(균P＜0.05).표명RPUL술우점다,료효호.
To explore an appropriate treatment for patients with upper ureteral stone (＞ 15 mm in size) by comparing the therapeutic outcomes for those undergoing retroperitoneoscopic ureterolithotomy (RPUL) and percutaneous nephrolithotomy (PCNL).A total of 62 patients with large upper ureteral stone were divided randomly into 2 groups.RPUL was performed in group A (n =30) and PCNL in group B (n =32).No significant inter-group difference existed in age,gender,stone location and size,operative duration or surgical success rate (P ＞ 0.05).Blood loss volume,rate of postoperative analgesic usage,time of hospital stay and incidence of postoperative complications in group A were significantly lower than those of group B (P ＜ 0.05).Thus RPUL offers more advantages and better efficacies.