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王亚非.微创经皮肾取石和经尿道输尿管镜碎石治疗输尿管上段嵌顿性结石的疗效观察[J].中国医药科学,2019,(16):215-217        基金项目:
微创经皮肾取石和经尿道输尿管镜碎石治疗输尿管上段嵌顿性结石的疗效观察
Observation on curative effects of minimally invasive percutaneous nephrolithotomy and transurethral ureteroscopic lithotripsy in treatment of upper ureteral incarcerated calculi
  
DOI:
中文关键词:  微创经皮肾取石术;经尿道输尿管镜碎石术;输尿管上段嵌顿性结石;并发症
英文关键词:Minimally invasive percutaneous nephrolithotomy; Transurethral ureteroscopic lithotripsy; Upper ureteral incarcerated calculi; Complication
作者单位
王亚非 江苏省淮安市淮安工业园区人民医院泌尿外科,江苏淮安 223000 
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中文摘要:
      [摘要] 目的 探讨微创经皮肾取石和经尿道输尿管镜碎石治疗输尿管上段嵌顿性结石的疗效差异。方法 回顾性分析 2016 年 11 月~ 2018 年 11 月我院接收的 80 例输尿管上段嵌顿性结石患者的临床资料,采用随机配对设计与患者个人意愿分成对照组与研究组各 40 例,对照组采用经尿道输尿管镜碎石治疗,研究组则采用微创经皮肾取石治疗,比较两组术中术后情况(包括术中出血量、手术耗时、住院时间)以及净石率、并发症发生率。结果 对照组术中出血量稍高于研究组,而手术时间及术后住院时间稍短于研究组,但组间差异比较无统计学意义(P > 0.05);对照组一期结石清除率及总净石率稍低于研究组,差异有统计学意义(P< 0.05);研究组与对照组术后并发症发生率分别为 7.5%、10.00%,虽然研究组稍低,但差异无统计学意义(P > 0.05)。结论 微创经皮肾取石和经尿道输尿管镜碎石均是治疗输尿管上段嵌顿性结石的安全有效的术式,但相比之下,微创经皮肾取石术结石清除率高,值得作为此类患者的首选术式。
英文摘要:
      [Abstract] Objective To explore the difference in curative rates of minimally invasive percutaneous nephrolithotomy and transurethral ureteroscopic lithotripsy in treatment of upper ureteral incarcerated calculi. Methods Clinical data of 80 patients with upper ureteral incarcerated calculi who were admitted to our hospital from November 2016 to November 2018 were retrospectively analyzed. According to the random pairing design and personal willingness, they were divided into the control group and the study group, with 40 cases in each group. The control group was treated with transurethral ureteroscopic lithotripsy while the study group was treated with minimally invasive percutaneous nephrolithotomy. The intraoperative conditions (including intraoperative blood loss, operation time and hospital stay), stone removal rate and complication rate were compared between two groups. Results The intraoperative blood loss in the control group was slightly higher than that in the study group while the operation time and hospital stay in the control group were shorter than those in the study group. Difference between two groups had no statistical significance (P > 0.05). The one-stage stone removal rate and overall stone removal rate in the control group were slightly lower than those in the study group. The difference was statistically significant (P < 0.05). The postoperative complication rate of the study group and the control group were respectively 7.50% and 10.00%. Difference between two groups had no statistical significance (P > 0.05). Conclusion Minimally invasive percutaneous nephrolithotomy and transurethral ureteroscopic lithotripsy both are safe and effective. However, the minimally invasive percutaneous nephrolithotomy can improve the stone removal rate and be deemed as the first choice.
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