CAJ | 학술논문

目的：对比经皮肾镜取石与输尿管镜碎石术治疗嵌顿性输尿管上段结石的临床疗效。方法84例嵌顿性输尿管上段结石患者，采用随机数表法将其分为经皮肾镜组与输尿管镜组，每组42例。经皮肾镜组采用经皮肾镜取石术进行治疗，输尿管镜组采用经尿道输尿管镜碎石术治疗，比较两组患者结石清除率、手术用时、住院时间及术后并发症发生率。结果经皮肾镜组患者结石清除率、手术用时、住院时间及并发症发生率明显优于输尿管镜组，差异具有统计学意义(P<0.05)。结论采用经皮肾镜取石术治疗嵌顿性输尿管上段结石具有较高的结石清除率及较低的术后并发症发生率，并且住院时间较短，可降低患者经济负担，具有临床应用及推广价值。
목적：대비경피신경취석여수뇨관경쇄석술치료감돈성수뇨관상단결석적림상료효。방법84례감돈성수뇨관상단결석환자，채용수궤수표법장기분위경피신경조여수뇨관경조，매조42례。경피신경조채용경피신경취석술진행치료，수뇨관경조채용경뇨도수뇨관경쇄석술치료，비교량조환자결석청제솔、수술용시、주원시간급술후병발증발생솔。결과경피신경조환자결석청제솔、수술용시、주원시간급병발증발생솔명현우우수뇨관경조，차이구유통계학의의(P<0.05)。결론채용경피신경취석술치료감돈성수뇨관상단결석구유교고적결석청제솔급교저적술후병발증발생솔，병차주원시간교단，가강저환자경제부담，구유림상응용급추엄개치。
Objective To compare the clinical effects between percutaneous nephrolithotomy and ureteroscopy lithotripsy in the treatment of impacted upper ureteral calculi.Methods A total of 84 patients with impacted upper ureteral calculi were divided by random number table into percutaneous nephrolithotomy group and ureteroscopy group with 42 cases in each group. The percutaneous nephrolithotomy group received percutaneous nephrolithotomy for treatment, and the ureteroscopy group was given ureteroscopy lithotripsy in treatment. Comparisons were made on calculus clearance rate, operation time, hospital stay, and incidence of postoperative complications between the two groups.Results The percutaneous nephrolithotomy group had obviously better calculus clearance rate, operation time, hospital stay, and incidence of postoperative complications than the ureteroscopy group, and the difference had statistical significance (P<0.05).Conclusion Implement of percutaneous nephrolithotomy can provide high calculus clearance rate and low incidence of postoperative <br> complications in treating impacted upper ureteral calculi. This method can shorten hospital stay and reduce patients’ cost, and it contains value in clinical promotion and application.