重庆医学2011，Vol.40Issue(28)：2843-2844,2847,3.DOI:10.3969/j.issn.1671-8348.2011.28.014
输尿管镜联合拦石网与经皮肾镜治疗输尿管上段结石的疗效比较
A comparative study of percutaneous nephrolithotomy and ureteroscopic lithotripsy with intercept stone network for the treatment of upper ureteral stones
陈刚 1吴小候 1尹志康 1何云峰1
作者信息
- 1. 重庆医科大学附属第一医院泌尿外科,400016
- 折叠
摘要
Abstract
Objective To investigate the efficacy of ureteroscopic lithotripsy with intercept stone network in the treatment of upper ureteral stones compared with percutaneous nephrolithotomy. Methods 157 patients with upper ureteral calculi were enrolled.88 cases were treated by rigid ureteroscope lithotripsy combined with intercept stone network. 69 cases underwent percutaneous nephrolithotomy. Results There was no significant difference on the success rate of primary lithotripsy (97.7％ vs 98.5 ％, P＞0.05) ,as well as the complication rate(6.8％ vs 7.2％ ,P＞0.05) and operation time(38. 53±11.96 min vs 40. 17±10.96 min,P＞0.05) between the ureteroscope lithotripsy with intercept stone network group and percutaneous nephrolithotomy group. The hospitalization time in ureteroscopic lithotripsy with intercept stone network group was 3.58 ± 1.96d and was obviously less than that in percutaneous nephrolithotomy group in which it was 8.62±1.84d (P＜ 0.05). Conclusion Combined with intercept stone network fixing calculi and then breaking stone with holmium laser lithotripsy under ureteroscope can prevent the calculi pushed back or reversed,and can obtain as high calculi fragmentation rate as percutaneous nephrolithotomy in the treatment of upper ureteral calculi.关键词
输尿管镜/肾造口术,经皮/输尿管结石Key words
ureteroscopes/ nephrostomy/ percutaneous/ ureteral calculi引用本文复制引用
陈刚,吴小候,尹志康,何云峰..输尿管镜联合拦石网与经皮肾镜治疗输尿管上段结石的疗效比较[J].重庆医学,2011,40(28):2843-2844,2847,3.
