【摘要】 目的 比较后腹腔镜输尿管切开取石术(RLU)与微创经皮肾镜取石术(MPCNL)治疗复杂输尿管上段结石的临床疗效。方法 单侧复杂输尿管上段结石患者129例,其中79例行RLU治疗,50例行MPCNL治疗,比较两组病例的手术成功率,手术时间,术后1周结石清除率及手术相关并发症的发生率。结果 RLU组平均手术时间(37.43±22.63)min,术后发热5例,结石清除率100%(79/79),MPCNL组平均手术时间(48.52±17.51)min,术后发热3例,结石清除率94%(47/50)。RLU组平均手术时间较短,结石清除率高于MPCNL(P<0.05);两组在手术成功率,并发症发生率方面差异无统计学意义(P>0.05)。结论 两种方法均适用于复杂输尿管上段结石的处理,相比较而言,RLU处理单纯的复杂输尿管上段结石更为合理。更多还原

【Abstract】 Objective To compare the clinical efficacy of retroperitoneoscopy(RLU) and minimally invasive percutaneous nephrolithotomy(MPCNL)for complicated upper ureteral calculi.Methods A total of 129 patients with unilateral complicated upper ureteral calculi were assigned to undergo either MPCNL(79 patients) or PCNL(50 patients) surgery.Clinical data including the success rate,operative time,stone clearance rate after one week and the incidence of surgery-related complications.Results The mean operative time were(37.43 ±22.63) min in RLU group and(48.52 ± 17.51) min in MPCNL group. Five cases in RLU group and 3 cases in MPCNL group had postoperative fever.The operative time was shorter and the stone clearance rate was higher in RLU group compared with the MPCNL group(P < 0.05),while the differences in success rate and complications incidence were not significant(P>0.05). Conclusion Both methods could be applied for the treatment of complicated upper ureteral calculi.Comparatively,RLU was more suitable for the treatment of complicated upper ureteral calculi..更多还原