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目的:比较微创经皮肾镜取石术和输尿管镜取石术治疗输尿管上段结石的手术效果及并发症。方法:采用微创经皮肾镜和输尿管镜治疗57例输尿管上段结石患者,平均结石体积分别为(237.3±90.8)mm~2和(155.8±63.7)mm~2,比较术后结石清除率和并发症发生率等数据。结果:所有患者均耐受手术,无严重并发症发生,经皮肾镜组和输尿管镜组结石清除率分别为90.6%和68%,并发症发生率分别为21.9%和0.4%。结论:输尿管镜具有创伤小,恢复快等特点,但结石清除率低,术后常需辅助方法进一步清除残石。经皮肾镜取石术治疗输尿管上段结石清除率高,但创伤较大,并发症发生率高。
Objective: To compare the surgical results and complications of ureteral calculi treated with minimally invasive percutaneous nephrolithotomy and ureteroscopic lithotripsy. Methods: Fifty-seven patients with upper ureteral calculi underwent minimally invasive percutaneous nephrolithotomy and ureteroscopy. The average volume of stones was (237.3 ± 90.8) mm ~ 2 and (155.8 ± 63.7) mm ~ 2, respectively. Complication rates and other data. Results: All patients were tolerant to surgery without serious complications. The rates of stone clearance were 90.6% and 68% in percutaneous nephrolithotomy group and ureteroscopy group respectively, and the complication rates were 21.9% and 0.4% respectively. Conclusions: Ureteroscopy has the characteristics of small trauma and rapid recovery, but the stone clearance rate is low, and auxiliary methods are often needed to further remove residual stone after operation. Percutaneous nephrolithotomy for the treatment of upper ureteral stones, high clearance rate, but trauma, complications and high incidence.