陕西医学杂志2018，Vol.47Issue(2)：193-195,3.DOI:10.3969/j.issn.1000-7377.2018.02.018
输尿管软镜与经皮肾镜处理嵌顿性输尿管上段结石疗效对比研究
Comparative study on the efficacy of flexible ureteroscopy and percutaneous nephrolithotomy for incaecerated upper ureteral calculi
崔昕 1欧彤文 1何新洲 1高伟 1荆超波2
作者信息
- 1. 首都医科大学宣武医院 北京100053
- 2. 武警北京市总队十四支队卫生队 北京100010
- 折叠
摘要
Abstract
Objective:To compare the efficacy of flexible ureteroscopy and percutaneous nephrolithotomy in the treatment of incaecerated upper ureteral calculi.Methods:The clinical data of 97 patients with incaecerated upper ureteral calculi were selected for analysis.According to the different treatment methods,these patients were divided into a flexible ureteroscopy group(n=50)and percutaneous nephrolithotomy group(n=47):the former group was given flexible ureteroscopic lithotripsy(FURL)for treatment,whereas the latter was treated with microinvasive per-cutaneous nephrolithotomy with lithotomy(MPCNL).The stone clearance rate,clinical indicators and complications in the two groups were compared.Results:The stone clearance rates in the MPCNL group registered at the 3rdday and 3 months later were respectively 95.74% and 100.00%,both shown to be higher than the FURL group(P<0. 05).The amount of intraoperative bleeding,the duration of the operation,postoperative pains and the length of hospi-tal stay in the FURL group were all shown to be better than the MPCNL group(P<0.05).Conclusion:For the treatment of incaecerated upper ureteral calculi,both MPCNL and FURL can obtain satisfactory curative effects,but the former is with higher stone clearance rate for the first stage,and the latter can boost postoperative recovery, shorten the length of hospital stay and reduce post operation pains.Therefore,in clinical application,the physicians can choose suitable treatment options according to the specific conditions of the patients.关键词
输尿管结石/外科学/输尿管镜检查/方法/@经皮肾镜检查Key words
Ureteral calculi/surgery/Ureteroscopy/methods/@ Percutaneous nephroscope分类
医药卫生引用本文复制引用
崔昕,欧彤文,何新洲,高伟,荆超波..输尿管软镜与经皮肾镜处理嵌顿性输尿管上段结石疗效对比研究[J].陕西医学杂志,2018,47(2):193-195,3.
