CAJ | 학술논문

目的探讨输尿管上段结石4种治疗方法的临床效果.方法102例输尿管上段结石患者根据4种不同的治疗方式:体外冲击波碎石组(38例)、经皮肾镜碎石组(24例)、输尿管镜钬激光碎石组(22例)、后腹腔镜输尿管切开取石组(18例),分别采用体外冲击波碎石、经皮肾镜碎石术、输尿管镜钬激光碎石术和后腹腔镜输尿管切开取石术对其进行治疗后,对4组碎石成功率、并发症、术后恢复情况等方面进行回顾性分析.结果术后3个月复诊,碎石成功率在体外冲击波碎石组、经皮肾镜碎石取石术组、输尿管镜钬激光碎石取石术组和腹腔镜输尿管切开取石术组分别为73.7%(28/38)、100.0%(24/24)、81.8%(18/22)和94.4%(17/18),差异有统计学意义(P<0.05);术后并发症分别为2.6%(1/38)、8.3%(2/24)、9.1%(2/22)和11.1%(2/18),差异无统计学意义(P>0.05).结论对于输尿管上段结石的微创治疗,应根据患者临床情况及实际要求制定治疗方案.
목적탐토수뇨관상단결석4충치료방법적림상효과.방법102례수뇨관상단결석환자근거4충불동적치료방식:체외충격파쇄석조(38례)、경피신경쇄석조(24례)、수뇨관경화격광쇄석조(22례)、후복강경수뇨관절개취석조(18례),분별채용체외충격파쇄석、경피신경쇄석술、수뇨관경화격광쇄석술화후복강경수뇨관절개취석술대기진행치료후,대4조쇄석성공솔、병발증、술후회복정황등방면진행회고성분석.결과술후3개월복진,쇄석성공솔재체외충격파쇄석조、경피신경쇄석취석술조、수뇨관경화격광쇄석취석술조화복강경수뇨관절개취석술조분별위73.7%(28/38)、100.0%(24/24)、81.8%(18/22)화94.4%(17/18),차이유통계학의의(P<0.05);술후병발증분별위2.6%(1/38)、8.3%(2/24)、9.1%(2/22)화11.1%(2/18),차이무통계학의의(P>0.05).결론대우수뇨관상단결석적미창치료,응근거환자림상정황급실제요구제정치료방안.
Objective To compare the effect of four kinds of treatments on upper ureteral calculi. Methods 102 patients with upper ureteral calculi were divided into 4 groups: extracorporeal shock wave lithotripsy group (n=38), percutaneous nephrostolithotomy group (n=24), ureteroscopic Ho : YAG laser lithotripsy group (n=22), retroperitoneal laparoscopic ureterolithotomy group (n=18). The successful rate of stone fragmentation, post-operative complications in 4 groups were comparatively studied. Results Three months after operation, the successful rate of stone fragmentation in lithotripsy group, percutaneous nephrostolithotomy group,ureteroscopic Ho : YAG laser lithotripsy group and retroperitoneal laparoscopic ureterolithotomy group were 73.7%(28/38), 100.0%(24/24), 81.8%(18/22), 94.4%(17/18) respectively, there was significant difference (P<0.05);post-operative complications were 2.6%(1/38), 8.3%(2/24), 9.1%(2/22), 11.1%(1/18) respectively, there was no significant difference (P>0.05). Conclusion In selected patients with upper ureteral calculi,we should choose a therapy according to their clinic condition and actual demand.