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目的:比较经皮肾镜与后腹腔镜输尿管切开取石术治疗输尿管上段嵌顿性结石临床效果。方法:选择2013年7月至2015年12月在我科进行输尿管上段嵌顿结石外科手术治疗的患者120例,平均分为两组,分别采用微创经皮肾镜取石术(MPCNL)和后腹腔镜输尿管切开取石术(RLUL),观察对比两组患者治疗效果。结果:MPCNL组手术时长明显低于RLUL组,手术出血量、术后住院时间、住院费用均明显高于RLUL组(P<0.05),两组患者在术后并发症及结石清除率方面比较无显著性差异(P>0.05)。结论:MPCNL与RLUL在治疗输尿管上段嵌顿性结石均有较好的临床效果,均可作为临床上常规治疗选择方式。
OBJECTIVE: To compare the clinical effects of percutaneous nephrolithotomy with laparoscopic ureterolithotomy for upper ureteral incarcerated stones. Methods: From July 2013 to December 2015 in our department for incarcerated ureteral calculi surgery in patients with 120 cases, divided into two groups were treated with minimally invasive percutaneous nephrolithotomy (MPCNL) and after Laparoscopic ureterolithotomy (RLUL) was used to observe and compare the therapeutic effect of two groups of patients. Results: The duration of operation in MPCNL group was significantly lower than that in RLUL group. The amount of bleeding, postoperative hospital stay and hospitalization cost were significantly higher in RL group than in RLUL group (P <0.05). There was no significant difference in postoperative complications and stone clearance rate between two groups Significant difference (P> 0.05). Conclusion: Both MPCNL and RLUL have a good clinical effect in the treatment of incarcerated stones in the upper ureter, which can be used as a routine treatment option in clinic.