摘要
目的探讨体外震波(ESWL)处理输尿管上段结石无效后经逆行输尿管镜(URL)、微创经皮肾镜碎石(MPCNL)或后腹腔镜下输尿管切开取石(RLU)治疗的有效性、安全性。方法回顾性分析2008年1月至2012年1月该院采用3种微创方式治疗180例ESWL无效的输尿管上段结石患者的资料,比较3种微创治疗术式的结石清除率。结果 URL一次治疗成功率71%,MPCNL与RLU为100%。URL术后1个月结石清除率为86%。结论 MPCNL与RLU结石清除率高,URL结石清除率较低但手术时间短,需要根据情况选择治疗方式。
Objective To evaluate the clinical efficacy of three minimally invasive surgical approaches （URL,MPCNL and RLU） for treatment ESWL-failed upper ureteral stones. Methods A retrospective analysis was performed in 180 upper ureteral calculi pa- tients treated with those above methods in our hospital from January 2008 to January 2012. The stone-free rate was considered as an indicator for comparing. Results The stone-free rate of URL, MPCNL and RLU were 71%, 100% and 100%, respectively. The stone-free rate of URL one month after operation was 86%. Conclusion Compared to the URL,the MPCNL and RLU have higher clearance of calculi. However,URL has the shorter operation time. The choice of treatment should be according to patients＇ condition.
出处
《重庆医学》
CAS
CSCD
北大核心
2013年第20期2328-2329,2331,共3页
Chongqing medicine
基金
贵州省科技厅基金(黔科合J字[2011]2254号)
贵州省科技厅联合基金(黔科合LS字[2012]006号)
贵州省科教青年英才培养工程(黔省专合字[2012]185号)
