| 刘文斌,孙志凯.微创经皮肾镜与经输尿管镜治疗输尿管上段结石合并肾积水的临床疗效对比分析[J].安徽医药,2018,22(1):102-104. |
| 微创经皮肾镜与经输尿管镜治疗输尿管上段结石合并肾积水的临床疗效对比分析 |
| Clinical efficacy of minimally invasive percutaneous nephrolithotomy and ureteroscopy in treating upper ureteral stones combined with hydronephrosis:A comparative analysis |
| 投稿时间：2016-09-21 |
| DOI： |
| 中文关键词: 经皮肾镜 输尿管镜 输尿管上段结石 临床疗效 |
| 英文关键词: percutaneous nephrolithotomy ureteroscopy upper ureteral calculi clinical efficacy |
| 基金项目: |
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| 中文摘要: |
| 目的 比较微创经皮肾镜(MPCNL)与经输尿管镜取石术(URL)治疗输尿管上段结石合并肾积水的临床疗效。方法 选取126例输尿管上段结石合并肾积水患者,分别采用MPCNL和URL方法进行治疗,比较两组患者结石清除率、手术时间、住院天数、住院费用、术中出血量及术后各类并发症的发病率。结果 MPCNL组患者术后3 d及术后1个月结石清除率(95.24%,100.00%)高于URL组(79.37%,88.89%),MPCNL组手术时间、住院天数、术中出血量及住院费用均高于URL组,MPCNL组患者术后并发症的发病率(22.22%)高于URL组(3.17%),均差异有统计学意义(P＜0.05)。结论 URL有创伤小、恢复快、费用低等优点,但是结石清除率低,MPCNL结石清除率高,但是术中出血量大、并发症较多,费用高,对于输尿管上段结石合并肾积水宜采用MPCNL治疗。 |
| 英文摘要: |
| Objective To compare the clinical efficacies of minimally invasive percutaneous nephrolithotomy and ureteroscopy in treating upper ureteral stones combined with hydronephrosis. Methods One hundred and twenty-six cases of upper ureteral calculi in patients with hydronephrosis were selected in Department of Urology,Yangang Hospital of Yantian District of Shenzhen,and were treated by using MPCNL and URL methods,respectively.The stone clearance rate,operative time,length of stay,hospital costs,blood loss,and the incidence of various types of postoperative complications of two groups were compared. Results Three days and a month after the operation stone-free rate of MPCNL group (95.24%,100.00%) were higher than those in URL group (79.37%,88.89%).The operative time,hospital stay,blood loss and hospital costs of MPCNL group were higher than those in URL group.The incidence of postoperative complications of MPCNL group (22.22%) was higher than that of URL group (3.17%).Differences were statistically significant (P＜0.05). Conclusions URL has advantages of small trauma,rapid recovery and low cost,but it has low rate of stone clearance.MPCNL has high rate of stone clearance,but it has disadvantages of large amount of blood loss,more complications,and high cost.Therefore,MPCNL treatment is preferable for treating upper ureteral stones in patients with hydronephrosis. |
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