论文部分内容阅读
目的对比观察微创经皮肾穿刺取石术(MPCNL)与经尿道输尿管镜碎石术(URL)治疗输尿管上段结石的疗效。方法 85例嵌顿性输尿管上段结石患者随机分成观察组和对照组,分别采用MPCNL治疗和URL治疗,统计并比较两组的住院时间、手术时间、术中出血量、结石清除率及并发症发生情况。结果观察组手术时间、术中出血量、住院时间分别为(64.3±15.6)min、(123.5±38.2)ml、(13.2±2.1)d,均显著高于对照组,组间比较差异有统计学意义(P﹤0.05);观察组术后3 d和术后1月结石清除率分别为93.0%和97.7%,均显著高于对照组,组间比较差异有统计学意义(P﹤0.05);两组并发症发生率比较差异无统计学意义(P﹥0.05)。结论 MPCNL治疗输尿管上段嵌顿结石疗效可靠,并发症少,可作为输尿管上段嵌顿结石的首选治疗方法。
Objective To compare the efficacy of minimally invasive percutaneous nephrolithotomy (MPCNL) and transurethral ureteroscopic lithotripsy (URL) in the treatment of upper ureteral calculi. Methods 85 cases of incarcerated ureteral calculi were randomly divided into observation group and control group. MPCNL treatment and URL were used respectively. The hospitalization time, operation time, intraoperative blood loss, stone clearance rate and complications Happening. Results The operation time, intraoperative blood loss and hospital stay in the observation group were (64.3 ± 15.6) min, (123.5 ± 38.2) ml, (13.2 ± 2.1) d, respectively, which were significantly higher than those in the control group (P <0.05). The stone clearance rates of the observation group at 3 days and 1 month after operation were 93.0% and 97.7%, respectively, which were significantly higher than those in the control group (P <0.05). There was no significant difference in the incidence of complications between the two groups (P> 0.05). Conclusion MPCNL treatment of upper ureteral incarcerated stones with reliable and less complications, ureteral stones can be used as the preferred treatment for incarcerated stones.