摘要
目的：比较微创经皮肾穿刺取石术与经尿道输尿管镜碎石术治疗输尿管上段结石的方法。方法从1996年6月到2004年6月，对202例单侧输尿管上段结石的患者，92例采用MPCNL进行治疗；110例采用URL治疗后，46例接受辅助的ESWL治疗。结果 MPCNL组术后3d结石清除率为94．6％，术后1个月结石清除率为100％。URL术后3d结石清除率为20．9％，术后1个月的结石清除率为84．5，均显著低于MPCNL组。结论微创经皮肾穿刺取石治疗嵌顿性输尿管上段结石有很高的结石清除率；经尿道输尿管镜手术治疗效果稍差，可以联合体外冲击波碎石来提高疗效。
Abstract
ObjectiveToinvestigatetheefectofminimalyinvasivepercutaneousnephrolithotomyinmanagementofupperuretericcalculi,comparedwithtransurethralureteroscopelitho-tripsy.MethodsAtotalof202patientswerediagnosedashavingupperurtericcalculi,92ofwhomacceptedminimalyinvasivepercutaneousnephrolithotomy,and110acceptedtransurethralure-teroscopic lithotripsy.Of them 46 patients accepted auxiliary extracorporeal shock wave lithotripsy afterwards.The stonefree rate was recorded in 3 days and 1 month postoperation.Results 3 days and 1 month after MPCNL,the stonefree rate was 97.8% and 100% respectively.3 days after URL,the stonefree rate was 20.9%.A month after the auxiliary ESWL,the stonefree rate was 84.5%.Conclusion High stonefree rate can be obtained with minimal y invasive percutaneous nephrolithotomy for impacted upper ureteric calculi.The stonefree rate is less satisfactory with tran-surethral ureteroscopic lithotripsy,but the result can be improved with auxiliary ESWL.
NETL
NSTL
维普
万方数据