中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
15期
70-73
,共4页
体外冲击碎石%输尿管镜超声碎石%经皮肾镜取石%输尿管上段结石
體外遲擊碎石%輸尿管鏡超聲碎石%經皮腎鏡取石%輸尿管上段結石
체외충격쇄석%수뇨관경초성쇄석%경피신경취석%수뇨관상단결석
Impact rubble in Nitro%Deuteroscopic ultrasonic lithotripsy%Percutaneous nephoscope lithotomy%Upper ureteral calculi
目的：对照分析体外冲击碎石(ESWL)、输尿管镜超声碎石(URL)、经皮肾镜取石(MPCNL)三种方法治疗输尿管上段结石的临床效果。方法随机选取2012年12月~2013年12月上海市中医药大学附属普陀医院诊治的输尿管上段结石患者126例，依据其选择的手术方式分为三组，38例行ESWL术的患者作为对照组，42例行URL术的患者作为研究A组，46例行MPCNL术的患者作为研究B组，分析三种方式的近期疗效、围术期情况及安全性。结果三组患者的手术时间及术后并发症发生率比较，差异无统计学意义(P>0.05)；研究B组患者的一次碎石成功率(100.00%)与结石清除率(100.00%)均高于对照组(63.16%、55.26%)及研究 A 组(80.95%、73.81%)，差异均有统计学意义(P<0.05)；对照组多次碎石成功率高于研究A组及研究B组，差异均有统计学意义(P<0.05)；研究B组患者的住院时间及治疗费用高于对照组与研究A组，差异均有统计学意义(P<0.05)。结论 MPCNL术治疗输尿管上段结石的临床效果显著，具有临床推广与应用价值。
目的：對照分析體外遲擊碎石(ESWL)、輸尿管鏡超聲碎石(URL)、經皮腎鏡取石(MPCNL)三種方法治療輸尿管上段結石的臨床效果。方法隨機選取2012年12月~2013年12月上海市中醫藥大學附屬普陀醫院診治的輸尿管上段結石患者126例，依據其選擇的手術方式分為三組，38例行ESWL術的患者作為對照組，42例行URL術的患者作為研究A組，46例行MPCNL術的患者作為研究B組，分析三種方式的近期療效、圍術期情況及安全性。結果三組患者的手術時間及術後併髮癥髮生率比較，差異無統計學意義(P>0.05)；研究B組患者的一次碎石成功率(100.00%)與結石清除率(100.00%)均高于對照組(63.16%、55.26%)及研究 A 組(80.95%、73.81%)，差異均有統計學意義(P<0.05)；對照組多次碎石成功率高于研究A組及研究B組，差異均有統計學意義(P<0.05)；研究B組患者的住院時間及治療費用高于對照組與研究A組，差異均有統計學意義(P<0.05)。結論 MPCNL術治療輸尿管上段結石的臨床效果顯著，具有臨床推廣與應用價值。
목적：대조분석체외충격쇄석(ESWL)、수뇨관경초성쇄석(URL)、경피신경취석(MPCNL)삼충방법치료수뇨관상단결석적림상효과。방법수궤선취2012년12월~2013년12월상해시중의약대학부속보타의원진치적수뇨관상단결석환자126례，의거기선택적수술방식분위삼조，38례행ESWL술적환자작위대조조，42례행URL술적환자작위연구A조，46례행MPCNL술적환자작위연구B조，분석삼충방식적근기료효、위술기정황급안전성。결과삼조환자적수술시간급술후병발증발생솔비교，차이무통계학의의(P>0.05)；연구B조환자적일차쇄석성공솔(100.00%)여결석청제솔(100.00%)균고우대조조(63.16%、55.26%)급연구 A 조(80.95%、73.81%)，차이균유통계학의의(P<0.05)；대조조다차쇄석성공솔고우연구A조급연구B조，차이균유통계학의의(P<0.05)；연구B조환자적주원시간급치료비용고우대조조여연구A조，차이균유통계학의의(P<0.05)。결론 MPCNL술치료수뇨관상단결석적림상효과현저，구유림상추엄여응용개치。
Objective To contrast analyze clinical effect of three methods, such as extracorporeal shock wave lithotripsy (ESWL), ureter mirror ultrasonic lithotripsy (URL), microinvasive percutaneous nephrolithotomy with lithotomy (MPCNL) in the treatment of upper ureteral calculi. Methods 126 patients from December 2012 to December 2013 who were di-agnosed and treated by upper ureteral calculi in the Affiliated Putoff Hospital of Shanghai Chinese Medical University were randomly selected, and they were divided into three groups according to the surgical procedures, 38 patients who were treated by ESWL were as control group, 42 patients with URL were experiment group A, 46 patients with MPCNL were experiment group B. The short-term curative effects of three ways were analyzed, cooperative data and security conditions were also analyzed. Results The operation time and postoperative complication rates of three groups had no statistical significance (P> 0.05); gravel success rate of patients in the experiment group B was 100.00% and calculi clearance rate was 100.00%, the control group were 63.16% and 55.26%, the experiment group A were 80.95% and 73.81%, experiment group B was higher than those of the control group and experiment group A, the differences were statistically significant (P<0.05);multiple gravel success rate of the control group was higher than those of the experi-ment group A, B, the differences were statistically significant (P<0.05);patient's hospital time and cost of treatment in the experiment group B were higher than those of the control group and experiment group A, the differences were sta-tistically significant (P<0.05). Conclusion MPCNL is a significantly clinical curative effect in the treatment of upper ureteral calculi, it has value of clinical popularization and application.
