[1]周振宇,何朝辉①,李逊①,等.微创经皮肾穿刺取石术和后腹腔镜下输尿管切开取石术治疗嵌顿性输尿管上段结石的疗效比较[J].中国微创外科杂志,2009,09(6):532-534.
　Zhou Zhenyu*,He Zhaohui,Li Xun,et al.Comparison of Minimally Invasive Percutaneous Nephrolithotomy and Retroperitoneal Laparoscopic Ureterolithotomy for Impacted Upper Ureteral Calculi[J].Chinese Journal of Minimally Invasive Surgery,2009,09(6):532-534.
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微创经皮肾穿刺取石术和后腹腔镜下输尿管切开取石术治疗嵌顿性输尿管上段结石的疗效比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年6期
页码:
532-534
栏目:
出版日期:
2009-08-01

文章信息/Info

Title:
Comparison of Minimally Invasive Percutaneous Nephrolithotomy and Retroperitoneal Laparoscopic Ureterolithotomy for Impacted Upper Ureteral Calculi
作者:
周振宇; 何朝辉①; 李逊①; 王健
深圳武警医院泌尿外科，深圳518029
Author(s):
Zhou Zhenyu*;  He Zhaohui;  Li Xun;  et al.
*Department of Urology, Shenzhen General Hospital of Armed Police Force,Shenzhen 518029, China
关键词:
输尿管上段结石; 经皮肾穿刺取石术; 腹腔镜输尿管切开取石术
Keywords:
Upper ureteral calculi; Percutaneous nephrolithotomy; Laparoscopic ureterolithotomy
分类号:
R693+.4
文献标志码:
A
摘要:
目的比较微创经皮肾穿刺取石术（minimally invasive percutaneous nephrolithotomy,MPCNL）和后腹腔镜输尿管切开取石术（retroperitoneal laparoscopic ureterolithotomy,RLUL)治疗嵌顿性输尿管上段结石的疗效。方法对72例单侧嵌顿性输尿管上段结石采用MPCNL（45例）或RLUL（27例）治疗，对比2组手术时间、结石清除率和术后高热（>385 ℃）率。结果72例手术全部成功，手术时间MPCNL组短于RLUL组［（43±9）min与（69±17）min，t=-11564，P=0000］。术后第2天结石清除率2组均为100％。术后高热率MPCNL组133％（6/45），与RLUL组111%(3/27)比较差异无显著性（χ2=0000，P=1000）。术后随访1～24个月，平均8个月，2组均未发现有输尿管狭窄和结石复发。结论MPCNL和RLUL治疗输尿管上段嵌顿性结石均是安全、有效的，两者均可以选用。
Abstract:
ObjectiveTo compare the therapeutic effects of minimally invasive percutaneous nephrolithotomy (MPCNL) and retroperitoneal laparoscopic ureterolithotomy (RLUL) in the management of impacted upper ureteral calculi.MethodsA total of 72 patients with unilateral impacted upper ureteral calculi were treated with MPCNL (n=45) or RLUL (n=27). The operation time, clearance rate of the stone, and the incidence of postoperative hyperpyrexia were statistically analyzed.ResultsAll the operations were completed. As compared to the RLUL group, the MPCNL group had a significant shorter operation time ［(43±9) minutes vs (69±17) minutes, t=-11564, P＝0000］. On the day after the operation, both the groups showed a stone clearance rate of 100%. No significant difference was detected in the rate of postoperative hyperpyrexia between the two groups ［133%(6/45) vs 111%(3/27), χ2=0000, P=1000). The patients were followed up for 1 to 24 months (mean, 8 months), none of them developed ureteral stricture or recurrent stones during the period.ConclusionBoth MPCNL and RLUL are safe, effective, and feasible for impacted upper ureteral calculi.

参考文献/References:

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备注/Memo

备注/Memo:
①（广州医学院第一附属医院微创外科中心泌尿外科，广州510230）
更新日期/Last Update: 2014-01-08