【摘要】 目的:比较经尿道输尿管镜碎石术(URL)与经皮肾镜碎石术(PCNL)治疗输尿管上段结石的效果。方法:对24例采用URL治疗(URL组)和19例采用PCNL治疗(PCNL组)的输尿管上段结石患者手术时间、术后住院时间、术后感染率、结石清除率及并发症发生率进行比较。结果:URL组手术时间和术后住院时间均短于PCNL组(P<0.01),2组术后结石清除率、感染率和并发症发生率差异均无统计学意义(P>0.05)。结论:输尿管上段结石位置偏低、肾脏积水少及不宜全麻的患者,可考虑首选URL手术。PCNL有一定创伤,对输尿管上段嵌顿结石、伴明显肾积水且结石位置近肾盂者,可有较好的疗效。更多还原

【Abstract】 Objective: To investigate the effects of ureteroscope holmium laser lithotripsy(URL) and percutaneous nephrolithotripsy(PCNL) in management of upper urinary tract calculi.Methods: Forty-three patients with upper ureter calculi were included in the study.Twenty-four of them were treated by URL(URL group) and 19 by PCNL(PCNL group).The operation time,post-operative hospital stay,post-operative infection,stone-free rate and complication were compared between the two groups.Results: The operation time and hospital stay of the URL group were significantly shorter than those of the PCNL group(P < 0.01).The stone-free rate,postoperative infection and complication had no significant differences between the two groups(P > 0.05).Conclusions: URL is the best choice for patients whose ureteric calculi are located in a low position and have little hydronephrosis,or the patients who cannot undergo general anesthesia;PCNL is more suitable for patients whose ureteric calculi are in the upper part or near the pelvis with obvious hydronephrosis.更多还原