[1]高小峰,周铁,陈书尚,等.输尿管软镜碎石与微创经皮肾取石术治疗肾盏结石的对比研究[J].中华腔镜泌尿外科杂志(电子版),2007,(02):69-72.
 GAO Xiao-feng,ZHOU Tie,CHEN Shu-shang,et al.Comparison of Retrograde Flexible Ureteroscopic Lithotripsy and Mini-Percutaneous Nephrolithotomy for Calyceal Calculi[J].,2007,(02):69-72.
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输尿管软镜碎石与微创经皮肾取石术治疗肾盏结石的对比研究()
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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:
期数:
2007年02期
页码:
69-72
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Comparison of Retrograde Flexible Ureteroscopic Lithotripsy and Mini-Percutaneous Nephrolithotomy for Calyceal Calculi
作者:
高小峰周铁陈书尚高旭王林辉许传亮孙颖浩
第二军医大学长海医院泌尿外科,上海市杨浦区长海路174号,200433
Author(s):
GAO Xiao-fengZHOU TieCHEN Shu-shangGAO XuWANG Lin-huiXU Chuan-liangSUN Ying-hao
关键词:
肾盏结石输尿管软镜经皮肾取石术
摘要:
目的 探讨输尿管软镜及微创经皮肾镜(mini-percutaneous nephrolithotomy,MPCNL)钬激光碎石治疗肾盏结石的疗效.方法 分别采用输尿管软镜碎石术和微创经皮肾取石术治疗单发肾盏结石患者55例和83例,统计2种方法治疗各个肾盏结石的手术时间、碎石成功率、术后住院天数和并发症.结果 上盏直径≥2 cm的结石,输尿管软镜碎石和MPCNL的手术时间分别为(56±7.0) min 和(52±9.2) min,碎石成功率分别为66.7%和87.5%;直径<2 cm的结石,手术时间分别为(42±9.0) min 和(44±9.9) min,碎石成功率分别为91.7%和100%.中盏直径≥2 cm的结石,2组的手术时间分别为(59±7.9) min 和(48±10.3) min,碎石成功率分别为66.7%和95.2%;直径<2 cm的结石,手术时间分别为(38±8.4) min 和(43±10.5) min,碎石成功率分别都为100%.下盏直径≥2 cm的结石,2组的手术时间分别为(68±9.3) min 和(44±10.2) min,碎石成功率分别为51.7%和92.6%;直径<2 cm的结石,手术时间分别为(56±5.3) min 和(40±10.1) min,碎石成功率分别为66.7%和100%;2组均无重要并发症.PCNL组的术后住院天数显著高于输尿管软镜组.结论 对于有手术指征的肾盏结石,若直径≥2 cm,不论其位置,推荐行MPCNL;若直径 <2 cm ,如结石位于上盏、中盏,推荐首选输尿管软镜下钬激光碎石,如位于下盏,可以考虑选择MPCNL.

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更新日期/Last Update: 1900-01-01