昆明医科大学学报Issue(2)：73-76,4.
不同手术方式治疗复杂性输尿管上段结石的疗效比较
Comparative Analysis of Four Different Operation Methods for Treatment of Complex Upper Ureteral Calculi
摘要
Abstract
Objective To compare the effects of ureteroscopic lithotripsy (URL), minimally invasive percutaneous nephrolithotomy ( MPCNL) , retroperitoneal laparoscopic ureterolithotomy ( RLU) and open ureterolithotomy (UL) for the treatment of complex upper ureteral calculi. Methods The data of 281 patients with complex upper ureteral calculi from January 2005 to January 2013 were retrospectively reviewed. 48 patients of them received treatment of URL, 113 patients received MPCNL, 67 patients received RLU and other 53 patients received UL. Results Success rates of treatment at the first time were:URL 62.5% (30/48), MPCNL 92.9%(105/113),RLU 100%(67/67) and UL 100%(53/53) . The mean blood losses during the operation were:URL (9.2 ± 1.4) mL,MPCNL (72.5 ± 5.8) mL,RLU (43.1 ± 8.5) mL and UL (100.5 ± 9.2) mL. The average operation time of URL group was shorter than three other groups, and the difference was statistically significant (P< 0.05) . The average hospital stay of URL group was also shorter than three other groups ( < 0.05) . The difference was not statistically significant in complications among four groups after operation ( >0.05) . Conclusion Clinical characteristics of patients and individual require ment should be considered comprehensively before an individual treatment choice is made for the treatment of complex upper ureteral calculi.关键词
输尿管结石/碎石术/经皮肾镜/输尿管镜/腹腔镜/切开取石术Key words
Ureteral calculi/Lithotripsy/Percutaneous nephroscopy/Ureteroscopy/Laparoscopy/Ureterolithotomy分类
医药卫生引用本文复制引用
廖勇,李康,黄建林,安宇,邱明星..不同手术方式治疗复杂性输尿管上段结石的疗效比较[J].昆明医科大学学报,2014,(2):73-76,4.基金项目
四川省卫生厅科研基金资助项目 （）
