CAJ | 학술논문

目的：比较后腹腔镜与经皮肾镜治疗复杂性输尿管上段结石的临床效果。方法本次研究选取2013年11月～2014年11月我院收治的114例复杂性输尿管上段结石患者，随机分为 RLU 组和 MPCNL 组，每组各57例。RLU 组，采用 RLU 治疗，MPCNL 组，采用 MPCNL 治疗，比较两组一次性净石率、手术时间、术中出血量、平均住院时间及并发症发生率。结果 RLU 组手术时间及平均住院时间与 MPCNL 组比较较短，术中出血量较少，差异有统计学意义（P ＜0.05），两组一次性净石率及并发症总发生率差异无统计学意义（P ＞0.05）。结论 RLU 及 MPCNL 均为治疗复杂性输尿管上段结石的有效手段，具体治疗方法的选择应根据患者的具体情况及医院水平等综合因素考虑。
목적：비교후복강경여경피신경치료복잡성수뇨관상단결석적림상효과。방법본차연구선취2013년11월～2014년11월아원수치적114례복잡성수뇨관상단결석환자，수궤분위 RLU 조화 MPCNL 조，매조각57례。RLU 조，채용 RLU 치료，MPCNL 조，채용 MPCNL 치료，비교량조일차성정석솔、수술시간、술중출혈량、평균주원시간급병발증발생솔。결과 RLU 조수술시간급평균주원시간여 MPCNL 조비교교단，술중출혈량교소，차이유통계학의의（P ＜0.05），량조일차성정석솔급병발증총발생솔차이무통계학의의（P ＞0.05）。결론 RLU 급 MPCNL 균위치료복잡성수뇨관상단결석적유효수단，구체치료방법적선택응근거환자적구체정황급의원수평등종합인소고필。
Objective To compare the clinical effects of retroperitoneal laparoscopic and percutaneous nephrolithotomy in the treatment of complex upper ureteral calculi. Methods 114 cases of complex upper ureteral calculi from November 2013 to November 2014 in our hospital were selected and divided into two groups randomly, 57 cases in each group. RLU group used RLU treatment, MPCNL that used MPCNL treatment, and the disposable clean stone rate, operation time, peri-operative bleeding, average hospitalization time and incidence of complications of two groups were compared. Results The operation time and average hospitalization time of RLU group were significantly shorter than those of MPCNL group, peri-operative bleeding was significantly less, the difference was statistically significant between the two groups(P < 0.05),and there was not significant in the disposable clean stone rate and incidence of complications between the two groups (P > 0.05). Conclusion RLU and MPCNL are effective means for treating complex upper ureteral calculi, specific treatment means should be selected by considering the patient's specific circumstances and hospital level.