摘要
目的:探讨嵌顿性输尿管上段结石理想的微创治疗方法。方法:2005年1月～2008年10月采用微创经皮肾取石术(MPC-NL)、经尿道输尿管镜碎石术(URL)治疗嵌顿性输尿管上段结石86例。MPCNL组40例,URL组46例,URL组15例接受辅助的ESWL治疗。结果:MPCNL组术后3天结石清除率为95.0%(38/40),术后1个月结石清除率为100%(40/40)。URL组术后3天结石清除率为34.8%(16/46),术后1个月结石清除率为87.0%(40/46)。结论:MPCNL治疗嵌顿性输尿管上段结石具有很高的结石清除率;URL疗效稍差,但可以联合体外冲击波碎石提高疗效。
Objective ：To explore the ideal ways of minimally＇invasive treatment of impacted upper ureteric calculi. Methods： From January,2005 to October,2008,86 cases of impacted upper ureteric calculi were treated by minimally invasive percutaneous nephrolithotomy （MPCNL）,and compared with transurethral ureteroscope lithotripsy （URL）. 40 of whom received MPCNL,46 received URL and 15 combined with auxiliary extracorporeal shock wave lithotripsy（ESWL）.Results：After MPCNL,the stone-free rate was 95.0% （38/40）in 3 d postoperation,and it was 100%（40/40）in a month postoperation. After URL,the stone-free rate was 34.8 %（16/46） in 3 d postoperation.With the auxiliary ESWL,the stone-free rate was 87.0% （40/46） in a month postoperation.Conclusion：High stone-free rate can be obtained with MPCNL for impacted upper ureteric calculi.The stone-free rate is less satisfactory with URL,but it can be improved with the auxiliary ESWL.
出处
《现代医药卫生》
2009年第10期1441-1442,共2页
Journal of Modern Medicine & Health
关键词
输尿管结石
输尿管镜
微创技术
Ureteric calculi
Ureteroscope
Minimally invasive technique
