摘要
目的探讨微创经皮肾穿刺碎石术(MPCNL)及输尿管镜碎石术(URL)治疗输尿管上段嵌顿性结石的临床疗效。方法回顾性分析2010年4月～2012年1月在我院因输尿管上段嵌顿性结石住院治疗的患者98例,其中39例接受微创经皮肾穿刺碎石术治疗,59例接受输尿管镜碎石术治疗,统计分析两种手术方法的临床疗效。结果 MPCNL组及URL组手术时间分别为(121.68±15.73)min、(68.35±9.17)min(P<0.05);MPCN组术后3天及1个月后结石清除率分别为94.8%(37/39)、100%(39/39),URL组术后3天及1个月后结石清除率分别为57.63%(34/59)、81.36%(48/59),MPCNL组较URL组结石清除率显著增高(P<0.05);术后MPCNL组及URL组平均住院天数分别为(10±2.3)d及(5±1.2)d(P<0.05)。结论 URL在手术时间及术后住院天数上优于MPCNL,而在结石清除率方面MPCNL明显优于URL。
Objective To investigate the clinical effect of the minimally invasive percutaneous nephrolithotomy（MPCNL） comparing with transurethral ureteroscope lithotripsy（URL） in treating impacted upper ureteral calculi.Methods Ninety-eight cases of impacted upper ureteral calculi treated in our hospita1 from April 2010 to January 2012,including thirty-nine cases of MPCNL and fifty-nine cases of URL.Compared the clinical efficacy of the two kinds of surgical method.Results The operation time of MPCNL was（121.68±15.73） minutes,URL was（68.35±9.17）minutes.After MPCNL,the postoperation stone-free rate was 94.8%（37/39） in 3 days,and it was 100%（39/39） in a month.After URL the postoperation stone-free rate in 3 days and in a month were 57.63%（34/59） and 81.36%（48/59） respectively.Compared with URL group,MPCNL group in 3 days and 1 month postoperation got a higher stone-free rate（P〈0.05）.The average postoperation hospital stay of MPCNL was（10±2.3）days and URL was（5±1.2）days（P〈0.05）.Conclusions The operation time and the average postoperative hospital stay of URL are shorter than MPCNL,but the stone-free rate of MPCNL is higher than URL.
出处
《齐齐哈尔医学院学报》
2012年第12期1556-1557,共2页
Journal of Qiqihar Medical University
关键词
输尿管上段嵌顿性结石
微创经皮肾穿刺碎石术
输尿管镜碎石术
Impacted upper ureteral calculi Minimally invasive percutaneous nephrolithotomy Transurethral ureteroscope lithotripsy
