摘要
目的比较后腹腔镜输尿管切开取石和经皮微穿刺碎石术(mPCNL)治疗输尿管上段结石的疗效。方法 43例输尿管上段结石的患者接受治疗,其中腹腔镜组20例,mPCNL组23例。结果术后1周复查尿路平片,后腹腔镜组结石清除率100%,mPCNL组91.6%。结论 2种方法治疗输尿管上段结石均能取得满意疗效,当结石位于L3以上时mPCNL疗效较好,而后腹腔镜切开取石治疗L3～L5上缘的结石则可能效果更好。
Objective To compare the effects of minimal invasive percutaneous nephrolithotomy （mPCNL） and retroperitoneal lapa- roscopic ureterolithotomy in management of upper ureteral calculi. Methods Forty - three patients with upper ureteral stone were enrolled in the study. Twenty cases were treated by netroperitoneal laparoscopic ureterolithotomy and 23 by mPCNL. Results In mPCNL group, the stone -free rate was 91.6% one week after operation; in retroperitoneal laparoscopic ureterolithotomy, that was 100%. Conclusion High stone -free rate can be obtained by two methods, mPCNL could be an effective surgical procedure for treatment of upper ureteral calculi（ 〉 L3） ; retroperitoneal laparoscopic ureterolithotomy is a selective method of minimal trauma for the treatment of ureteral calculi （L3 - L5 ）, or bigger stones.
出处
《安徽医学》
2012年第12期1599-1600,共2页
Anhui Medical Journal
关键词
输尿管结石
后腹腔镜切开取石
经皮微穿刺碎石术
Ureteral calculi
Retroperitoneal laparoscopic ureterolithotomy
Percutaneous nephrolithotomy
