中国全科医学Issue(17)：2050-2053,4.DOI:10.3969/j.issn.1007-9572.2015.17.016
微创经皮肾镜取石术和单孔后腹腔镜输尿管切开取石术治疗输尿管上段结石的对比研究
Comparison Between Minimally Invasive Percutaneous Nephrolithotomy and Single - site Retroperitoneal Ureterolithotomy on Upper Ureteral Calculi
摘要
Abstract
Objective To investigate advantages and disadvantages of minimally invasive pereutaneous nephrolithotomy (MPCNL) and single - site retroperitoneal ureterolithotomy( Less - RU) on large upper ureteral calculi and to provide references for selecting proper operation method for patients. Methods We enrolled 100 patients with upper ureteral calculi who were admitted into Meizhou People′s Hospital from January 2009 to December 2013. The patients were divided into two groups:MPCNL group( n=69 ) and Less -RU group ( n =31 ). The two groups both made preoperative preparation and received MPCNL or Less-RU. The operation duration,decrease in hemoglobin,clearance rate of calculi,gross hematuria duration after sugery,time before being off sickbed,hospital stay,time before being back at work,satisfaction degree,the occurrence of serious complication were observed. Results The two groups both had successful treatment with no patient dead. In MPCNL group,three patients discontinued to receive open operation after the failure of MPCNL due to the contort or combined stenosis of ureter,three patients had calculus remains,and one patient had stenosis in ureter. In Less-RU group,three patients were operated with an extra surgery passage due to operation difficulty,and no patient had calculi remains. Less -RU group had longer(P<0. 05)surgery duration and smaller(P<0. 05)decrease in hemoglobin than MPCNL group. Less-RU group also had shorter(P<0. 05)gross hematuria duration after sugery,time before being off sickbed after surgery,hospital stay,time before being back at work than MPCNL group. The two groups were significantly different(P<0. 05)in satisfaction degree. In MPCNL group,massive haemorrhage occurred in one patient, and serious infection occurred in ten patients. In Less - RU group,no serious complication occurred. Conclusion Less - RU was safe, feasible and effective with rapid postoperative recovery and few complications for the treatment of upper ureteric calculi. If the needed medical technology and facilities are available,Less-RU could be considered as the primary operation method on upper ureteric calculi.关键词
输尿管结石/肾造口术,经皮/单孔后腹腔镜输尿管切开取石术Key words
Ureteral calculi/Nephrostomy,percutaneous/Single-site retroperitoneal ureterolithotomy分类
医药卫生引用本文复制引用
林立国,吴国忠,孙忠凯,蔡浩榕,丁国栋..微创经皮肾镜取石术和单孔后腹腔镜输尿管切开取石术治疗输尿管上段结石的对比研究[J].中国全科医学,2015,(17):2050-2053,4.基金项目
梅州市科技局计划项目 （）
