CAJ | 학술논문

目的：对比分析后腹腔镜下输尿管切开取石与经皮肾镜碎石治疗输尿管上段结石的效果。方法选取2012～2014年38例输尿管上段结石的患者，随机分成两组，分别采用后腹腔镜下输尿管切开取石术和经皮肾镜碎石术，对比两组的手术情况和治疗效果。结果两组患者的结石清除率、手术时间、术后住院时间的比较差异没有统计学意义，P ＜0.05。后腹腔镜组的术后出血量和并发症情况，低于经皮肾镜组，差异有统计学意义，P ＜0.05。结论两种治疗方法对输尿管上段结石，都有很好的治疗效果，但是经皮肾镜碎石术的术后出血和并发症情况要高于后腹腔镜组，因此后腹腔镜下输尿管切开取石术的安全性较高。
목적：대비분석후복강경하수뇨관절개취석여경피신경쇄석치료수뇨관상단결석적효과。방법선취2012～2014년38례수뇨관상단결석적환자，수궤분성량조，분별채용후복강경하수뇨관절개취석술화경피신경쇄석술，대비량조적수술정황화치료효과。결과량조환자적결석청제솔、수술시간、술후주원시간적비교차이몰유통계학의의，P ＜0.05。후복강경조적술후출혈량화병발증정황，저우경피신경조，차이유통계학의의，P ＜0.05。결론량충치료방법대수뇨관상단결석，도유흔호적치료효과，단시경피신경쇄석술적술후출혈화병발증정황요고우후복강경조，인차후복강경하수뇨관절개취석술적안전성교고。
Objective Comparative analysis laparoscopic ureterolithotomy and percutaneous nephrolithotomy lithotripsy for upper ureteral calculi. Methods In 2012~2014 years, 38 cases of upper segment ureteral calculi patients were randomly divided into two groups, respectively, after the use of laparoscopic surgery ureterolithotomy and percutaneous nephrolithotomy lithotripsy, surgery and treatment conditions compared two groups. Results The two groups of patients stone-free rate, operative time, postoperative hospital stay is no statistically significant difference, P<0.05. Blood loss and postoperative complications after laparoscopic group was significantly lower than percutaneous nephrolithotomy group, the difference was statistically significant, P<0.05. Conclusion The treatment of ureteral calculi, has a very good therapeutic effect, but percutaneous renal lithotripsy postoperative bleeding and complications than laparoscopic group, and therefore cut the ureter after laparoscopic open stone surgery high security.