摘要
目的采用Corhrane系统评价方法对复杂性输尿管上段结石三种微创方法的治疗效果及安全性进行分析。方法计算机检索中国知网、维普、万方、SCIE、PUBMED数据库有关各术式的对比研究。质量评价后，采用RevMan5．1对各术式一次性手术成功率，结石取尽率，术中术后并发症发生率，住院时间进行两两分析。结果输尿管镜碎石术在术后住院时间方面（P〈0．01）明显优于经皮。肾镜碎石和后腹腔镜取石。但一次性手术成功率（P〈0．01）、结石取尽率（P〈0．01）均低于后两者。后腹腔镜手术则在结石取尽率（P〈0．01）、术中术后并发症发生率（P〈0．05）方面均优于经皮。肾镜。结论对复杂性输尿管上段结石推荐首先采用输尿管镜碎石术和后腹腔下输尿管切开取石术，经皮肾镜不适用。
Objectives Use the Corhrane method of system review to evaluate the treatment effect and security of three minimally invasive surgical treatments for complicated upper ureteral calculi. Methods Collect all articles of the three treatments from CNKI/VIP/WANFANG DATE/SCIE/PUBMED online. Analysis the success ra- iio and calculi free rate and complication incidence rate of each operation by pair wise comparison with RveMan 5.1 softw~. Results Ureteroscopic lithotripsy （URL） has shorter hospital stays （ P 〈 O. 01 ）, but lower success ra- tio （ P 〈 0.01 ） and calculi free rate（ P 〈 0.01 ）. Otherwise, Retroperitoneal laparoscopic ureterolithomy （RLU） is advanced than percutaneous nephrolithotomy （PCNL）on calculi free rate （ P 〈 0.01 ） and complication incidence rate （ P 〈 0.05）. Conclusions URL should be the fist choice for complicate upper ureteral calculi and RLU could be the second choice. PCNL is not suitable for patients who with upper ureteral calculi.
出处
《国际泌尿系统杂志》
2012年第3期297-300,共4页
International Journal of Urology and Nephrology
关键词
输尿管结石
Ureteral Calculi
