[1]周建华,陈楚义,郑锦标,等.复杂性输尿管上段结石微创术式选择与疗效比较[J].中华腔镜泌尿外科杂志(电子版),2012,(04):270-274.
 ZHOU Jian-hua,CHEN Chu-yi,ZHENG Jin-biao,et al.Minimally invasive surgical options and effects of complex upper ureteral stones[J].,2012,(04):270-274.
点击复制

复杂性输尿管上段结石微创术式选择与疗效比较()
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:
2012年04期
页码:
270-274
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Minimally invasive surgical options and effects of complex upper ureteral stones
作者:
周建华陈楚义郑锦标李剑军
广东省深圳市龙岗区人民医院泌尿外科,518172
Author(s):
ZHOU Jian-huaCHEN Chu-yiZHENG Jin-biaoLI Jian-jun
关键词:
输尿管结石输尿管镜经皮肾输尿管镜取石术腹腔镜
摘要:
目的 探讨复杂性输尿管上段结石微创手术方式的选择及其疗效分析.方法 回顾2005 年9 月至2011 年9月选择经尿道输尿管镜钬激光碎石取石术(URL)、微创经皮肾输尿镜碎石取石术(MPCNL)和后腹腔镜输尿管切开取石术(RLU)治疗复杂性输尿管上段结石患者85 例,同一手术操作者,比较术中并发症发生情况、结石清除率、手术时间、住院时间和费用等方面临床资料.结果 全部患者取结石成功,发生中转手术取石:URL 组4 例、MPCNL 组3 例;MPCNL 组有3 例患者需要术中输血;术后发现URL 组有6 例患者结石残留;而在手术时间、住院时间和费用方面,URL 组手术及住院时间短、费用低,MPCNL组手术时间最长,而RLU 组费用最高;三种不同术式比较,均有统计学差异.结论 URL 发生并发症少、损伤小、费用低,是治疗复杂性输尿管上段结石的首选.

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,(04):30.
[2]吴希庆,杨建新,张博智.后腹腔镜与经腰背途径输尿管切开取石手术疗效比较[J].中华腔镜泌尿外科杂志(电子版),2007,(01):40.
 WU Xi-qing,YANG Jian-xin,ZHANG Bo-zhi.Comparison of surgical outcome between retroperitoneal laparoscopic and lumbarstraight incision ureterolithotomy[J].,2007,(04):40.
[3]李炯明,陈戬,刘建和,等.第11肋间入路经皮肾取石术治疗嵌顿性输尿管上段结石(附375例报告)[J].中华腔镜泌尿外科杂志(电子版),2007,(02):73.
 LI Jiong-ming,CHEN Jian,LIU Jian-he,et al.Treatment of Impacted Upper Ureteral Stones by minipercutaneous nephrolithotomy via the 11th Intercostal Access(375 cases report)[J].,2007,(04):73.
[4]石磊,高振利,姜仁慧,等.经皮肾镜气压弹道联合超声碎石清石的并发症防治[J].中华腔镜泌尿外科杂志(电子版),2007,(02):76.
 SHI Lei,GAO Zhen-li,JIANG Ren-hui,et al.Prevention and treatment of complications of combined pneumatic and ultrasoud lithotripsy during percutaneous nephrolithotomy[J].,2007,(04):76.
[5]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,(04):87.
[6]陈光,谢广静,朱光炜,等.后腹腔镜输尿管切开取石术30例报告[J].中华腔镜泌尿外科杂志(电子版),2007,(02):100.
 CHEN Guang,XIE Guang-jing,ZHU Guang-wei,et al.Retroperitoneal laparoscopic ureterolithotomy:Report of 30 cases[J].,2007,(04):100.
[7]赵永斌,胡卫列,吕军,等.输尿管镜钬激光碎石术中并发输尿管穿孔原因及对策[J].中华腔镜泌尿外科杂志(电子版),2008,(01):45.
[8]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,(04):110.
[9]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,(04):124.
[10]谢广静,陈光,沈思,等.输尿管镜钬激光碎石术治疗输尿管结石536例报告[J].中华腔镜泌尿外科杂志(电子版),2008,(02):135.
 XIE Guang-jing,CHEN Guang,SHEN Si,et al.A clinic alanalysis of ureteroscopic holmium laser lithotripsy for ureteral stones:report of 536 cases[J].,2008,(04):135.
[11]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,(04):143.
[12]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,(04):37.
[13]于祎斌,孙小东,蒋向华,等.急诊输尿管镜下取(碎)石治疗输尿管结石并肾绞痛(附256例报告)[J].中华腔镜泌尿外科杂志(电子版),2009,(02):44.
 YU Yi-bin,SUN Xiao-dong,JIANG Xiang-hua,et al.Emergency treatment of ureteral calculi by pneumatic lithotripsy or pincers under ureteroscope[J].,2009,(04):44.
[14]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.
 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,(04):222.
[15]章璟,王国增,石泉,等.急诊输尿管镜钬激光碎石与体外冲击波碎石治疗输尿管结石并急性肾绞痛的疗效比较[J].中华腔镜泌尿外科杂志(电子版),2009,(04):312.
 ZHANG Jing,WANG Guo-zeng,SHI Quan,et al.Comparison of efficacy between emergency ureteroscopic holmium laser lithotripsy and extracorporeal shock wave lithotripsy in man agement of ureteral stones with acute renal colic[J].,2009,(04):312.
[16]叶宁,洪景范.侧卧体位输尿管镜取石术治疗输尿管上段结石的临床应用价值[J].中华腔镜泌尿外科杂志(电子版),2009,(04):332.
 YE Ning,HONG Jing-fan.Clinical value of lateral decubitus ureteroscopic lithotripsy for upper urinary calculi[J].,2009,(04):332.
[17]陈兴屹,温晓飞,仇广明,等.嵌顿性输尿管上段结石三种微创术式的疗效比较[J].中华腔镜泌尿外科杂志(电子版),2010,(01):26.
 CHEN Xing-yi,WEN Xiao-fei,CHOU Guang-ming,et al.The comparison of three kinds of minimally invasive lithotripsy for treatment of impacted upper ureteric calculi[J].,2010,(04):26.
[18]廖尚范,伊岱旭,吴用样,等.经输尿管镜治疗输尿管结石梗阻导致的急性肾功能衰竭的临床研究[J].中华腔镜泌尿外科杂志(电子版),2010,(03):245.
[19]黄雄文,吴炳森,翁建团.急诊输尿管镜碎石取石术治疗输尿管中下段结石并肾绞痛[J].中华腔镜泌尿外科杂志(电子版),2010,(06):470.
 HUANG Xiong-wen,WU Bingsen,WENG Jian-tuan.Emergency management of renal colic due to middle or lower ureteral calculi by ureteroscope[J].,2010,(04):470.
[20]蔡畅青,范翰共,林悦.输尿管镜气压弹道碎石术的疗效分析:附380例报告[J].中华腔镜泌尿外科杂志(电子版),2011,(04):304.
 CAI Changqing,FAN Han-gong,LIN Yue.Pnenumatic lithotripsy under ureteroscope for ureteral calculi: report of 380 cases[J].,2011,(04):304.

更新日期/Last Update: 1900-01-01