摘要
将62例输尿管上段〉15mm结石患者随机分组，分别行后腹膜腹腔镜输尿管切开取石（RPUL）和经皮肾镜碎石取石（PCNL）治疗（30和32例）。两者患者年龄、性别、结石位置及大小、手术时间、手术成功率、结石清除率及双J管留置时间差异，均无统计学意义；RPUL较PCNL治疗术中出血量、术后额外镇痛剂使用率、住院时间、术后相关并发症发生率均低，差异有统计学意义（均P〈0．05）。表明RPUL术优点多，疗效好。
To explore an appropriate treatment for patients with upper ureteral stone （ 〉 15 mm in size） by comparing the therapeutic outcomes for those undergoing retroperitoneoscopic ureterolithotomy （RPUL） and percutaneous nephrolithotomy （PCNL）. A total of 62 patients with large upper ureteral stone were divided randomly into 2 groups. RPUL was performed in group A （ n = 30） and PCNL in group B （ n = 32）. No significant inter-group difference existed in age, gender, stone location and size, operative duration or surgical success rate （ P 〉 0. 05 ）. Blood loss volume, rate of postoperative analgesic usage, time of hospital stay and incidence of postoperative complications in group A were significantly lower than those of group B （P 〈 0. 05 ）. Thus RPUL offers more advantages and better efficacies.
出处
《中华全科医师杂志》
2014年第7期596-598,共3页
Chinese Journal of General Practitioners
