【摘要】 目的比较后腹腔镜输尿管切开取石术(RLU)与经尿道输尿管镜气压弹道碎石术(URL)在治疗复杂性输尿管上段结石的疗效。方法 82例复杂性输尿管上段结石患者随机分为两组:RLU治疗39例,URL治疗43例。结果 RLU组无中转开放手术取石病例,平均手术时间(85.1±20.2)min,术后并发症发生率为2.56%(1/39),1个月后结石清除率为100%(39/39)。URL组中有39例顺利完成URL,平均手术时间(不包括4例中转开放手术)(27.5±15.3)min,术后并发症发生率为18.60%(8/43),1个月后结石清除率为83.72%(36/43)。RLU的手术时间长于URL,但术后并发症发生率明显低于URL组;1个月后结石清除率明显高于URL组。结论 RLU治疗复杂性输尿管上段结石具有结石清除率高、术后并发症少的优点,是治疗复杂性输尿管上段结石的良好方法。更多还原

【Abstract】 [Objective] To evaluate the therapeutic effects of retroperitoneal laparoscopic ureterolithotomy(RLU) and transurethral ureteroscopic pneumatic lithotripsy(URL) for complicated upper ureteral calculi.[Methods] 82 patients were divided into two groups randomly.39 cases were treated by RLU,43 cases were treated by URL.[Results] The average operation time,postoperative complication rate and one month postoperative stone free rate was(85.1±20.2) minutes versus(27.5±15.3) minutes,2.56%(1/39) versus 18.60%(8/43) and 100%(39/39) versus 83.72%(36/43),in RLU group and URL group respectively.[Conclusions] RLU has higher postoperative stone free rate and less postoperative complication than URL,which is suitable for complicated upper ureteral calculi.更多还原