摘要
【目的】探讨经皮肾穿刺取石术（PCNL）与经尿道输尿管镜碎石术（URL）治疗输尿管上段结石的疗效和优缺点。【方法]382例408侧输尿管上段结石患者，行URL187侧，PCNL221侧。【结果IURL组187侧，完成碎石184,侧，改开放手术3侧，结石最大径平均10．5mm，手术时间平均37min，术后平均住院时间2．9d，结石一次清除159侧（86．9％）。PCNL组221侧，一期完成碎石留置DJ管219侧，改开放手术2侧，结石最大径平均16．4mm，手术时间平均41min，术后平均住院时间6．2d，结石一次清除215侧（98．2％）。【结论]PCNL和URL治疗输尿管上段结石各有自己的优劣点，根据具体病例选用，能保证结石清除率和降低并发症。
[Objective] To investigate the effects of percutaneous nephrolithotomy（PCNL） and transurethral ureteroscope lithotripsy（URL） for the treatment of upper ureteric calculi, and to compare their advantages and shortcomings. [Methods] Among 382 patients（408 sides） with upper ureteric calculi, 221 sides received PCNL and 187 sides received URL. [Results] Among 187 sides receiving URL, 184 sides achieved lithotripsy and 3 sides altered to open operation. The largest diameter of calculi was 10.5mm. The average opera- tion time was 37rain and the mean length of stay after operation was 2.9 days. The stone-free rate was 86.9% （159/184）. Among 221 sides receiving PCNL,219 sides achieved successfully and 2 sides altered to open operation. The largest diameter of calculi was 16.4ram. The average operation time was 41min and the mean length of stay after operation was 6.2 days. The stone-free rate was 98.2% （215/219）. [Conclusion]High stone-free rate can he obtained with PCNL and URL for upper ureteric calculi. Suitable selection can ensure high stonefree rate and cut down insult and complications.
出处
《医学临床研究》
CAS
2010年第1期108-110,共3页
Journal of Clinical Research
