[1]张若愚,王炜,米其武,等.输尿管上段结石微创手术方法的比较[J].中华腔镜泌尿外科杂志(电子版),2010,(04):311-315.
　ZHANG Ruo-yu,WANG Wei,MI Qi-wu,et al.Comparison of the minimally invasive surgeries of upper ureteral calculus[J].,2010,(04):311-315.
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输尿管上段结石微创手术方法的比较()
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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:
期数:
2010年04期
页码:
311-315
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Comparison of the minimally invasive surgeries of upper ureteral calculus
作者:
张若愚; 王炜; 米其武; 罗杰鑫
广东省东莞市人民医院泌尿外科,510018
Author(s):
ZHANG Ruo-yu; WANG Wei; MI Qi-wu; LUO Jie-xin
关键词:
输尿管结石; 输尿管镜碎石术; 经皮肾镜碎石术; 腹腔镜术
摘要:
目的 比较输尿管镜碎石取石术(URL)、微创经皮肾镜碎石取石术(MPCNL)、腹膜后腹腔镜碎石取石术(RLU)手术对输尿管上段结石的治疗效果,探讨输尿管上段结石的最佳微创手术治疗方法.方法 回顾性分析288例输尿管上段结石行上述三种手术治疗的临床资料.结果 URL组中88例术后KUB未见残石,40例可见泥沙样残石,23例有较大残石(直径>0.7 cm),予体外碎石治疗,6例术中发生输尿管较大穿孔,改行开放手术取石;MPCNL组中80例术后KUB未见残石,23例由于冲洗原因,输尿管中下段有小残石(直径 <0.5 cm),4例术后较大残石(直径>0.7 cm),行体外碎石治疗;RLU组中23例取石成功,1例改开放手术取石.结论 应综合分析患者具体病情选择手术方式.结石<2 cm且位置在L3椎体以下,没有远端输尿管狭窄患者首选URL;结石>2 cm且位置在L3椎体以上,合并有肾结石是PCNL的良好适应证;结石>2 cm且位置在L4椎体以上,合并明显尿路感染或者肾功能不全的患者可选择RLU.

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更新日期/Last Update: 1900-01-01