[1]邓景球,李宋荣,史向民,等.经皮肾取石和输尿管镜碎石治疗嵌顿性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),2009,(03):222-224.
 DENG Jing-qiu,LI Song-rong,SHI Xiang-min,et al.A comparative study of percutaneous nephrolithotomy and ureteroscopic lithotripsy for the treatment of impacted upper ureteral stones[J].,2009,(03):222-224.
点击复制

经皮肾取石和输尿管镜碎石治疗嵌顿性输尿管上段结石的疗效比较()
分享到:

中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2009年03期
页码:
222-224
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
A comparative study of percutaneous nephrolithotomy and ureteroscopic lithotripsy for the treatment of impacted upper ureteral stones
作者:
邓景球李宋荣史向民苏雁锋
广东省东莞市石龙人民医院泌尿外科,523326
Author(s):
DENG Jing-qiuLI Song-rongSHI Xiang-minSUN Yan-feng
关键词:
经皮肾镜输尿管镜输尿管结石
摘要:
目的 比较经皮肾取石和输尿管镜碎石治疗嵌顿性输尿管上段结石的疗效.方法 回顾性地分析66例嵌顿性输尿管上段结石患者的临床资料,经皮肾取石31例,输尿管镜碎石35例.分别对其结石清除率、手术时间、住院时间、并发症发生率、术后辅助治疗、住院费用等数据进行对比分析.结果 经皮肾取石术后结石清除率为93.5%(29/31) ,平均血红蛋白下降约3.89%,并发症发生率为6.5% (2/31),平均住院时间为8.3 天,平均住院费用为8976 元.输尿管镜碎石术后一个月结石清除率为77.1%(27/35),平均血红蛋白下降约0.29%,并发症发生率为8.6%(3/35),平均住院时间为7.6 天,平均住院费用为8631元.结论 经皮肾取石较输尿管镜碎石治疗嵌顿性输尿管上段结石结石清除率高,并发症少,安全有效,可作为嵌顿性输尿管上段结石的一线治疗方法 .

相似文献/References:

[1]周祥福,温晓飞,陈兴屹,等.应用输尿管镜通过经皮肾微造瘘治疗输尿管上段结石114例报告[J].中华腔镜泌尿外科杂志(电子版),2007,(01):30.
 ZHOU Xiang-fu,WEN Xiao-fei,CHEN Xing-yi,et al.Effect and safety of mini-percutaneous nephrostomy by ureteroscopy in treatment of upper ureteral stones: 114 cases report[J].,2007,(03):30.
[2]刘修恒,程帆,钱辉军,等.输尿管镜技术与并发症的防治(附2 280例报告)[J].中华腔镜泌尿外科杂志(电子版),2007,(02):87.
 LIU Xiu-hen,CHENG Fan,QIAN Hui-jun,et al.Ureteroscopic technique and the treatment and prevention of its complications (Report of 2280 cases)[J].,2007,(03):87.
[3]邱剑光,袁晓旭,司徒杰,等.输尿管镜术输尿管口假道发生的机制与处理[J].中华腔镜泌尿外科杂志(电子版),2008,(02):110.
 QIU Jian-guang,YUAN Xiao-xu,SI TU-Jie,et al.Formation,classification and management of intromural false passage of ureter orifice during ureteroscopic procedures[J].,2008,(03):110.
[4]王书龙,王劭亮,徐友明,等.输尿管硬镜钬激光治疗输尿管息肉的临床分析[J].中华腔镜泌尿外科杂志(电子版),2008,(02):124.
 WANG Shu-long,WANG Shao-liang,XU You-ming,et al.Clinical analysis of ureteroscopic holmium laser for managing ureteral polyps[J].,2008,(03):124.
[5]黄永新,黎志辉.输尿管硬镜气压弹道碎石治疗输尿管结石疗效分析[J].中华腔镜泌尿外科杂志(电子版),2008,(02):143.
 HUANG Yong-xin,LI Zhi-hui.Pneumatic lithotripsy via rigid uerteroscopy for the treatment of ureteric stone:Report of 185 cases[J].,2008,(03):143.
[6]林红,李晓玲,张学红.复杂性肾结石超声引导经皮肾镜碎石取石术的护理[J].中华腔镜泌尿外科杂志(电子版),2008,(02):155.
 LIN Hong-yun,LI Xiao-ling,ZHANG Xue-hong.Nursing study of percutaneous nephrolithotripsy with pneumatic and ultrasonic power under B-type ultrasound guidance for treatment of complicated renal calculi[J].,2008,(03):155.
[7]李丁有,湛海伦,司徒杰,等.输尿管镜下钬激光治疗输尿管嵌顿性结石[J].中华腔镜泌尿外科杂志(电子版),2008,(03):24.
 LI Ding-you,ZHAN Hai-lun,SITU Jie,et al.Treatment of ureteral impacted calculus with holmium laser lithottipsy via ureteroscope[J].,2008,(03):24.
[8]汪溢,蔡鑫,朱家利.经皮肾穿刺气压弹道碎石治疗肾结石58例[J].中华腔镜泌尿外科杂志(电子版),2008,(03):31.
 WANG Yi,CAI Xin,ZHU Jia-li.Percutaneous ureteroscope lithotripsy with pneumatic power (reports of 58 cases)[J].,2008,(03):31.
[9]黄旭光,潘晓明,李发根.结石拦截网在输尿管镜气压弹道碎石术中的应用[J].中华腔镜泌尿外科杂志(电子版),2008,(03):34.
 HUANG Xu-guang,PAN Xiao-ming,LI Fa-geng.The application of calculus interception net in the ureteroscopic pneumatic lithotripsy[J].,2008,(03):34.
[10]宋方闻,钟惟德.输尿管镜气压弹道碎石术治疗输尿管结石[J].中华腔镜泌尿外科杂志(电子版),2008,(04):37.
 SONG Fang-wen,ZHONG Wei-de.Clinical research of ureteral calculi treated with pneumatic lithotripsy through transurethral rigid ureteroscope[J].,2008,(03):37.
[11]王德娟,邱剑光,方友强,等.小儿上尿路多发结石的微创手术处理[J].中华腔镜泌尿外科杂志(电子版),2010,(03):193.
 WANG De-juan,QIU Jian-guang,FANG You-qiang,et al.Preliminary experience with minimally invasive endourological management of multiple upper urinary tract calculi in children[J].,2010,(03):193.
[12]崔振宇,杨文增,周洪月,等.多种微创手术治疗第4腰椎水平输尿管结石的对比研究[J].中华腔镜泌尿外科杂志(电子版),2017,11(02):122.[doi:10.3877/cma.j.issn.1674-3253.2017.02.011 ]
 Cui Zhenyu,Yang Wenzeng,Zhou Hongyue,et al.Comparative study of a variety of minimally invasive surgeries for ureteral calculi of the fourth lumbar vertebrae[J].,2017,11(03):122.[doi:10.3877/cma.j.issn.1674-3253.2017.02.011 ]
[13]黎灿强,杨毅,陈志军,等.妊娠期输尿管上段结石的微创手术疗效及安全性分析[J].中华腔镜泌尿外科杂志(电子版),2018,12(03):210.[doi:10.3877/cma.j.issn.1674-3253.2018.03.016 ]
 Li Canqiang,Yang Yi,Cheng Zhijun,et al.Analysis of the efficacy and safety of minimally invasive management of proximal ureteral calculi during pregnancy[J].,2018,12(03):210.[doi:10.3877/cma.j.issn.1674-3253.2018.03.016 ]

更新日期/Last Update: 1900-01-01