摘要
目的比较微创经皮肾镜与经尿道输尿管镜碎石术对输尿管上段结石的治疗效果。方法选取输尿管上段嵌顿性结石患者112例,随机分为观察组和对照组,每组56例。观察组采用微创经皮肾镜治疗,对照组采用经尿道输尿管镜碎石术治疗。比较两组患者结石清除率、手术时间、住院时间、住院费用和手术并发症。结果观察组术后3天的结石清除率为100%,高于对照组的76.8%(P<0.01)。观察组患者的手术时间、住院时间和住院费用明显低于对照组(P<0.01)。两组患者并发症不具有统计学意义(P>0.05)。结论微创经皮肾镜治疗输尿管上段结石患者,结石清除率高,安全性较好,患者经济负担小,值得临床推广。
Objectives To compare the efficacy between mini-percutaneous nephrolithotomy （MPCNL）and trans urethral ureter- soseopy（URL） in treatment of upper ureteral calculi. Methods Totally 122 patients with upper ureteral calculi were divide into study group and controlgroup, 56 eases in each. Patients in study group underwent MPCNL, while those in controlgroup were treated with URL The stone clearance rate, operative duration, hospitalization stay, hospitalized expense and surgical complications were compared between 2 groups 3 days and 1 month after operations, respectively. Results The stone clearance rate3 days after opera- tion was 100% in study group, higher than in control group （P 〈 0. 01 ）. Meanwhile the operative duration, hospitalization stay, hospitalized expense in study group were obviously lower than those in control group （ P 〈 0. 01 ）. The surgical complications between two groups showed no significant difference （ P 〉 0. 05 ）. Conclusions MPCNL in treatment of upper ureteral calculi has a high stone clearance rate and a favorite safety. Moreover it can reduce the financial burden and worth to being used in clinic.
出处
《中国老年保健医学》
2016年第1期23-24,27,共3页
Chinese Journal of Geriatric Care
