摘要
目的探讨各种腔镜手术方法在治疗输尿管上段结石的临床疗效。方法观察210例应用腔镜手术治疗的输尿管上段结石患者,比较3组患者一次碎石成功率、手术时间、出血量、住院时间和术后1个月结石排除率。结果输尿管镜碎石组在手术时间、出血量、住院时间方面具有明显的优势,差异有统计学意义(P<0.05);微创经皮肾镜取石组和腹腔镜下输尿管切开取石组在一次碎石成功率和术后1个月结石排除率方面具有明显的优势,组间比较差异有统计学意义(P<0.05)。结论输尿管镜碎石、微创经皮肾镜取石及后腹腔镜下输尿管切开取石均是治疗输尿管上段结石可选择的方法,根据患者的病情作出正确的选择,可以获得理想的临床治疗效果。
Objective To explore the clinical curative effect of endoscopic surgical treatments for upper- ureteral calculi. Methods A total of 210 cases of upper- ureteral calculi treated with endoscopic surgical treatments, were divided into 3 groups according to different endoscopic surgical methods. The success rate, operative time, blood loss, hospital stay and stone -free rate one month after operation were compared betwent the 3 groups. Results Ureteroscopic lithotripsy （URL） group had evident advantages in operating time, blood loss and hospital stay. There were statistical significant difference between URL and other groups （ P 〈 0.05 ）. minimally invasive percutaneous nephrolithotomy （MPCNL） group and ureteroscopic lithotripsy （RLU） group had evident advantages in success rate and stone -free rate one month after operation. There were statistical significant difference between groups. Conclusion URL, MPCNL and RLU are all good options for the treatment of upper - ureteral calculi. Making the right choice according to patients condition can obtain ideal clinical treatment effect.
出处
《河北医科大学学报》
CAS
2012年第5期522-524,共3页
Journal of Hebei Medical University
关键词
输尿管结石
输尿管镜
治疗结果
ureteral calculi
ureteroscopes
treatment outcome
