输尿管硬镜联合封堵器与B超引导下经皮肾镜处理输尿管上段结石的疗效对比分析(1)
[摘要] 目的 对比分析输尿管硬镜联合封堵器与B超引导下经皮肾镜处理输尿管上段结石的疗效。 方法 选择本院120例输尿管上段结石患者随机分为两组，各60例，分别为输尿管硬镜联合封堵器碎石术组(ureteroscopic lithotripsy，URL组)和B超引导下经皮肾镜碎石术组(percutaneous nepholithotomy lithotomy，PCNL组)。观察并对比分析两组的治疗效果。 结果 一次碎石成功率：URL组83.3%，PCNL组96.7%，差异有统计学意义(P<0.05)；术后1个月结石清除率：URL组81.7%，PCNL组95.0%，差异有统计学意义(P<0.05)；两组术后并发症发生率及术后1年结石复发率差异无统计学意义(P>0.05)。 结论 输尿管硬镜联合封堵器激光碎石创伤较小，但B超引导下经皮肾镜激光碎石术有较高的碎石成功率及清除率。临床应具体分析，以达到最佳的诊疗效果。
[关键词] 输尿管硬镜联合封堵器碎石；经皮肾镜激光碎石；输尿管上段结石； B超引导
[中图分类号] R699；R693.4 [文献标识码] A [文章编号] 1673-9701(2016)26-0009-03
The comparative analysis for the efficacy of percutaneous nephrolithotomy by B-ultrasound guided and ureteroscopic lithotripsy with occluder device in the treatment of upper ureteral calculi
SHEN Minqiang1 ZHANG Minghua1 YE Fagen1 YANG Ronghua1 HE Xiang2
1.Department of Urology， Huzhou Central Hospital in Zhejiang Province， Huzhou 313000， China； 2.Department of Urology， People's Hospital of Zhejiang Province， Hangzhou 310014， China
[Abstract] Objective To compare and analyze the efficacy of ureteroscopic lithotripsy with occluder device and percutaneous nephrolithotomy by B-ultrasound guided in the treatment of upper ureteral calculi. Methods 120 cases of upper ureteral calculi in our hospital were chosen as the research objects. they were randomly divided into two groups，and 60 cases in each group. One group was given ureteroscopic lithotripsy(URL) with occluder device，the other group was given the percutaneous nepholithotomy lithotomy(PCNL) by B-ultrasound guided. The treatment effect was observed and analyzed. Results The sucess rates of treatment at the first time were URL 83.3%，PCNL 96.7%，the difference was statistically significant(P<0.05). The stone-free rates one month after operation were URL 81.7%，PCNL 95.0%，the difference was statistically significant(P<0.05). The operation complication rate and the calculus recurrence rate at 1 year post-operation between the two groups showed no significant difference(P>0.05). Conclusion The ureteroscopic lithotripsy with occluder device has less trauma，the percutaneous nepholithotomy lithotomy(PCNL) by ultrasound guided has hinger success rate and stone free rate. To achieve the best therapeutic effect，the concrete problems should be concrete analyzed .
[Key words] The ureteroscopic lithotripsy with occluder device； The percutaneous nepholithotomy lithotomy； Upper ureteral calculi； B-ultrasound guided
输尿管结石是泌尿外科临床上常见的疾病，由于输尿管是一条细小狭长的管道，发作时多有肾绞痛、恶心呕吐等症状[1]。输尿管切开取石开放手术创伤较大，对患者的生活质量造成一定的影响。随着微创外科技术以及相关辅助碎石技术的不断发展，输尿管硬镜联合封堵器碎石与B超引导下经皮肾镜碎石是处理输尿管上段结石两种较好的手术方法，具有创伤小、恢复快等优点，越来越受到临床上的重视。本文将我院收治的120例输尿管上段结石患者随机分为两组，分别采用输尿管硬镜联合封堵器激光碎石和B超引导下经皮肾镜激光碎石，对比分析两种手术方法的疗效，现报道如下。, http://www.100md.com(沈敏强 张明华 叶发根 杨荣华 何翔)
[关键词] 输尿管硬镜联合封堵器碎石；经皮肾镜激光碎石；输尿管上段结石； B超引导
[中图分类号] R699；R693.4 [文献标识码] A [文章编号] 1673-9701(2016)26-0009-03
The comparative analysis for the efficacy of percutaneous nephrolithotomy by B-ultrasound guided and ureteroscopic lithotripsy with occluder device in the treatment of upper ureteral calculi
SHEN Minqiang1 ZHANG Minghua1 YE Fagen1 YANG Ronghua1 HE Xiang2
1.Department of Urology， Huzhou Central Hospital in Zhejiang Province， Huzhou 313000， China； 2.Department of Urology， People's Hospital of Zhejiang Province， Hangzhou 310014， China
[Abstract] Objective To compare and analyze the efficacy of ureteroscopic lithotripsy with occluder device and percutaneous nephrolithotomy by B-ultrasound guided in the treatment of upper ureteral calculi. Methods 120 cases of upper ureteral calculi in our hospital were chosen as the research objects. they were randomly divided into two groups，and 60 cases in each group. One group was given ureteroscopic lithotripsy(URL) with occluder device，the other group was given the percutaneous nepholithotomy lithotomy(PCNL) by B-ultrasound guided. The treatment effect was observed and analyzed. Results The sucess rates of treatment at the first time were URL 83.3%，PCNL 96.7%，the difference was statistically significant(P<0.05). The stone-free rates one month after operation were URL 81.7%，PCNL 95.0%，the difference was statistically significant(P<0.05). The operation complication rate and the calculus recurrence rate at 1 year post-operation between the two groups showed no significant difference(P>0.05). Conclusion The ureteroscopic lithotripsy with occluder device has less trauma，the percutaneous nepholithotomy lithotomy(PCNL) by ultrasound guided has hinger success rate and stone free rate. To achieve the best therapeutic effect，the concrete problems should be concrete analyzed .
[Key words] The ureteroscopic lithotripsy with occluder device； The percutaneous nepholithotomy lithotomy； Upper ureteral calculi； B-ultrasound guided
输尿管结石是泌尿外科临床上常见的疾病，由于输尿管是一条细小狭长的管道，发作时多有肾绞痛、恶心呕吐等症状[1]。输尿管切开取石开放手术创伤较大，对患者的生活质量造成一定的影响。随着微创外科技术以及相关辅助碎石技术的不断发展，输尿管硬镜联合封堵器碎石与B超引导下经皮肾镜碎石是处理输尿管上段结石两种较好的手术方法，具有创伤小、恢复快等优点，越来越受到临床上的重视。本文将我院收治的120例输尿管上段结石患者随机分为两组，分别采用输尿管硬镜联合封堵器激光碎石和B超引导下经皮肾镜激光碎石，对比分析两种手术方法的疗效，现报道如下。, http://www.100md.com(沈敏强 张明华 叶发根 杨荣华 何翔)