CAJ | 학술논문

目的：探讨经皮肾镜与输尿管镜在治疗嵌顿性输尿管上段结石中的疗效比较，为临床治疗提供帮助和指导。方法回顾性分析2012年10月～2014年10月在我院进行手术治疗的132例嵌顿性输尿管上段结石患者的临床资料，其中按照手术方式分为实验组（70例）和对照组（62例），实验组手术方式采取经皮肾镜取石，对照组手术方式采取输尿管镜碎石，对比两组术中及术后疗效情况。结果手术疗效相比较，实验组的术后结石清除率为91.43％（64/70），并发症发生率为5.71％（4/70），明显优于对照组（P ＜0.05）。结论微创经皮肾镜治疗嵌顿性输尿管上段结石虽然住院时间稍长，但是相比输尿管镜碎石清除率高、并发症少，安全可行，可以作为嵌顿性输尿管上段结石的首选治疗方法。
목적：탐토경피신경여수뇨관경재치료감돈성수뇨관상단결석중적료효비교，위림상치료제공방조화지도。방법회고성분석2012년10월～2014년10월재아원진행수술치료적132례감돈성수뇨관상단결석환자적림상자료，기중안조수술방식분위실험조（70례）화대조조（62례），실험조수술방식채취경피신경취석，대조조수술방식채취수뇨관경쇄석，대비량조술중급술후료효정황。결과수술료효상비교，실험조적술후결석청제솔위91.43％（64/70），병발증발생솔위5.71％（4/70），명현우우대조조（P ＜0.05）。결론미창경피신경치료감돈성수뇨관상단결석수연주원시간초장，단시상비수뇨관경쇄석청제솔고、병발증소，안전가행，가이작위감돈성수뇨관상단결석적수선치료방법。
Objective To explore the comparison of curative effect in the treatment of impacted upper ureteric calculi under percutaneous nephroscope and ureteroscope and provide help and guidance for clinical treatment. Methods Clinical data of 132 patients with impacted upper ureteric calculi who were admitted to our hospital and received surgical treatments from October 2012 to October 2014 were retrospectively analyzed and patients were allocated according to operation methods. 70 patients in the experiment group were given percutaneous nephrolithotomy while 62 patients in the control group were given ureterscopic lithotripsy. Curative effects in and after surgical treatments of two groups were compared. Results After the treatment, stone clearance rate was 91.43%(64/70) and complication rate was 5.71% (4/70) in experiment group which were both significantly superior to those in the control group (P < 0.05) when curative effects of the surgical treatment were compared. Conclusion Minimally invasive percutaneous nephrolithotomy treatment of impacted upper ureteric calculi has a higher stone clearance rate and less complications although its hospitalization is a little bit longer when compared with ureterscopic lithotripsy. Minimally invasive percutaneous nephrolithotomy can be used as the treatment of choice in the treatment of impacted upper ureteric calculi.