[1]姚东伟,刘成,刘雪军,等.输尿管镜联合取石网和经皮肾镜治疗输尿管上段结石的疗效比较[J].中华腔镜泌尿外科杂志(电子版),2016,10(05):336-339.[doi:10.3877/cma.j.issn.1674-3253.2016.05.010 ]
　Yao Dongwei,Liu Cheng,Liu Xuejun,et al.Comparison of ureteroscopic lithotripsy combined with stone cone and minimally invasive percutaneous nephrolithotomy for impacted upper ureteric calculi[J].,2016,10(05):336-339.[doi:10.3877/cma.j.issn.1674-3253.2016.05.010 ]
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输尿管镜联合取石网和经皮肾镜治疗输尿管上段结石的疗效比较()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
10
期数:
2016年05期
页码:
336-339
栏目:
临床研究
出版日期:
2016-11-05

文章信息/Info

Title:
Comparison of ureteroscopic lithotripsy combined with stone cone and minimally invasive percutaneous nephrolithotomy for impacted upper ureteric calculi
作者:
姚东伟; 刘成; 刘雪军; 刘多; 穆家贵; 朱东生; 范利
222023江苏省连云港市第二人民医院泌尿外科
Author(s):
Yao Dongwei;  Liu Cheng;  Liu Xuejun;  Liu Duo;  Mu Jiagui;  Zhu Dongsheng;  Fan Li.
Department of Urology, the Second People’s Hospital of Lianyungang,Jiangsu Province, Lianyungang 222023, China
关键词:
输尿管结石; 输尿管镜; 肾造口术; 经皮; 取石网
DOI:
10.3877/cma.j.issn.1674-3253.2016.05.010
摘要:
目的比较输尿管镜联合镍钛合金泌尿系统取石网（ URL+Stone Cone）和微创经皮肾镜碎石取石术（ MPCNL）治疗输尿管上段嵌顿结石的临床疗效。方法从 2014年 1月至 2015年 11月，共选取我院 78例单侧嵌顿性输尿管上段结石患者， 38例接受输尿管镜联合镍钛合金泌尿系统取石网碎石术， 40例接受微创经皮肾镜碎石取石术，比较两种碎石方法的手术时间、碎石成功率、结石清除率等临床指标。结果 URL+StoneCone组 2例患者结石上移，术后行体外冲击波碎石治疗， MPCNL组所有患者均顺利完成手术。两组手术平均时间分别为（ 55±13）min和（ 61±12）min，差异有统计学意义（ P<0.05）；一次碎石成功率分别为 94.7%和 100%，差异无统计学意义（ P>0.05）；术后平均住院时间分别为（ 5.6±1.5）d和（ 7.2±1.3）d，差异有统计学意义（ P<0.01）；术后 3d结石清除率分别为为 65.8%和 90%，差异有统计学意义（ P<0.05）；术后 1个月结石清除率分别为 94.7%和 97.5%，差异无统计学意义（ P>0.05）。两组患者均未出现严重并发症。结论输尿管镜联合镍钛合金泌尿系统取石网治疗输尿管上段结石能够减少结石上移，提高碎石成功率，临床疗效和 MPCNL的差异无明显意义，且有创伤小、住院时间短的优点，具有良好的临床价值。

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备注/Memo

备注/Memo:
通讯作者：刘成，Email:su_ga7858@126.com
更新日期/Last Update: 2016-10-30