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后腹腔镜输尿管切开取石术和经尿道输尿管镜碎石术在治疗复杂性输尿管上段结石的疗效比较

Comparative study of therapeutic effects for complicated upper ureteral calculi with retroperitoneal laparoscopy and ureteroscopy

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【作者】 郑清水许宁薛学义魏勇高锐吕夷松江涛毛厚平罗义麒曹林升

【Author】 ZHENG Qing-shui,XU Ning,XUE Xue-yi,WEI Yong,GAO Rui,LV Yi-song,JIANG Tao,MAO Hou-ping,LUO Yi-qi,CAO Lin-sheng(Department of Urology,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian 350005,P.R.China)

【机构】 福建医科大学附属第一医院泌尿外科

【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。

【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.

  • 【文献出处】 中国内镜杂志 ,China Journal of Endoscopy , 编辑部邮箱 ,2011年08期
  • 【分类号】R699
  • 【被引频次】20
  • 【下载频次】190
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