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目的研究分析输尿管上段结石应用经皮肾镜超声碎石取石术(PCNL)治疗的临床效果分析。方法对自2008年3月至2010年11月所收治的输尿管上段结石患者共30例的临床资料进行回顾性分析,将其分成观察组与对照组,各15例,观察组应用经皮肾镜超声碎石取石术治疗,对照组应用在后腹腔镜下行输尿管切开取石术治疗。观察组于术后对结石的清除情况行腹部平片复查,对照组也于术后对结石清除情况行腹部平片复查。结果在手术时间、术中出血量、结石清除率以及恢复时间上,观察组与对照组相比具有显著统计学差异(P<0.05)。观察组无1例转改开放式手术。对照组存在1例转改为开放式手术。结论采取经皮肾镜超声碎石取石术治疗输尿管上段结石效果更加明显,清除结石率高,出血量较少,并发症少,值得临床推广使用。
Objective To study the clinical effect of percutaneous nephrolithotoscopic lithotripsy (PCNL) in the treatment of upper ureteral calculi. Methods The clinical data of 30 patients with upper ureteral calculi treated from March 2008 to November 2010 were retrospectively analyzed and divided into observation group and control group, 15 cases each. The observation group was treated with percutaneous nephrolithotomy Ultrasonic lithotripsy treatment, the control group used in retroperitoneoscopic ureterolithotomy. Observation group in the removal of stones after the operation of abdominal plain film review, the control group also postoperative stone removal of abdominal plain film review. Results The operation time, intraoperative blood loss, stone clearance rate and recovery time, the observation group compared with the control group had significant statistical difference (P <0.05). No case of observation group changed open surgery. One case of control group changed to open surgery. Conclusion Percutaneous nephrolithotomy lithotripsy for the treatment of upper ureteral calculi more effective, clear stone rate, less bleeding, fewer complications, it is worth promoting the use of the clinic.