CAJ | 학술논문

目的探讨长径≤2 cm的输尿管上段结石最佳微创手术方式。方法本院2012年7月至2013年12月收治的123例合并或不合并肾积水的单侧输尿管上段结石患者,其中60例采用输尿管软镜下钬激光碎石,63例经皮肾镜钬激光碎石。对比分析两种手术方式治疗的手术时间、术后血红蛋白下降值、术后住院天数、住院费用、碎石成功率及并发症。结果输尿管软镜组与经皮肾镜组的手术时间分别为(120±8)min、(90±5)min,术后血红蛋白下降值分别为(0.2±0.1)g/L、(30±8)g/L,术后住院天数分别为(4±0.5)d、(10±2.3)d,住院费用分别为(22006±1589.6)元、(15106±658.3)元,碎石成功率分别为100%、93.7%(59/63)。结论输尿管软镜钬激光碎石除手术时间长于经皮肾镜外,与之比较具有创伤少、住院时间短、碎石成功率高,并发症发生率低的优势,值得推广。
목적탐토장경≤2 cm적수뇨관상단결석최가미창수술방식。방법본원2012년7월지2013년12월수치적123례합병혹불합병신적수적단측수뇨관상단결석환자,기중60례채용수뇨관연경하화격광쇄석,63례경피신경화격광쇄석。대비분석량충수술방식치료적수술시간、술후혈홍단백하강치、술후주원천수、주원비용、쇄석성공솔급병발증。결과수뇨관연경조여경피신경조적수술시간분별위(120±8)min、(90±5)min,술후혈홍단백하강치분별위(0.2±0.1)g/L、(30±8)g/L,술후주원천수분별위(4±0.5)d、(10±2.3)d,주원비용분별위(22006±1589.6)원、(15106±658.3)원,쇄석성공솔분별위100%、93.7%(59/63)。결론수뇨관연경화격광쇄석제수술시간장우경피신경외,여지비교구유창상소、주원시간단、쇄석성공솔고,병발증발생솔저적우세,치득추엄。
Obj ective]To explore the best minimally invasive operation of upper ureteral calculi with long diameter less than 2cm.[Methods]A total of 123 patients with or without hydronephrosis in our hospital from July 2012 to Dec.2013 were chosen.Among them,60 patients underwent flexible ureteroscopic holmium laser lithotripsy,while 63 patients underwent percutaneous holmium laser nephrolithotomy.Operation time,post-operative hemoglobin decline value,postoperative hospital stay,hospitalization cost,stone free rate and com-plications of two methods were compared.[Results]The operation time of flexible ureteroscopy group and percutaneous nephrolithotomy group was (120±8)min and (90±5)min respectively,and postoperative hemo-globin decline value was (0.2±0.1)g/L and (30±8)g/L respectively,and postoperative hospital stay was (4 ±0.5)d and (10±2.3)d respectively,and hospitalization cost was (22006±1589.6)yuan and (15106± 658.3)yuan respectively,and the stone free rate was 100% and 93.7%,respectively.[Conclusion]Although flexible ureteroscopic holmium laser lithotripsy has longer operation time than percutaneous nephrolithotomy, it has advantages such as small trauma,shorter hospital stay,higher stone free rate and little complication. Therefore,it is worthy of clinical promotion.