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微创经皮肾碎石与经尿道输尿管镜碎石治疗输尿管上段结石的对比分析
引用本文:胡旭辉,陈浩,刁伟强,罗金泰. 微创经皮肾碎石与经尿道输尿管镜碎石治疗输尿管上段结石的对比分析[J]. 白求恩军医学院学报, 2014, 12(2): 119-120
作者姓名:胡旭辉  陈浩  刁伟强  罗金泰
作者单位:胡旭辉 (511300,广东省增城市中医医院外科); 陈浩 (511300,广东省增城市中医医院外科); 刁伟强 (511300,广东省增城市中医医院外科); 罗金泰(510230,广州医科大学第一附属医院泌尿外科);
摘    要:
目的 比较微创经皮肾碎石与经尿道输尿管镜碎石治疗输尿管上段结石的临床效果.方法 将42例输尿管上段结石患者随机分为两组,观察组22例采用微创经皮肾碎石术治疗,对照组20例采用经尿道输尿管镜碎石术治疗,比较两组治疗效果.结果 观察组手术成功率和一次结石清除率均高于对照组(P<0.05);观察组住院时间和住院费用均少于对照组(P<0.01).结论 微创经皮肾碎石治疗输尿管上段结石优于经尿道输尿管镜碎石治疗.

关 键 词:微创经皮肾碎石  经尿道输尿管镜碎石  输尿管上段结石

The comparative efficacy analysis of minimally invasive percutaneous nephrolithotomy gravel and transurethral ureteroscopy lithotripsy on upper ureteral calculi
Affiliation:HU Xuhui, CHEN Hao, DIAO Weiqiang, et al.( Department of Surgery, Hospital of Traditional Chinese Medicine of Zengcheng, Guangdong 511300, China)
Abstract:
Objective To compare clinical efficacy of minimally invasive percutaneous nephrolithotomy gravel and transurethral ureteroscopy lithotripsy on upper ureteral calculi. Methods Forty-two patients with upper ureteral calculi were randomly divided into two groups,22 patients in observation group were treated with minimally invasive percutaneous nephrolithotomy gravel,20 patients in control group were treated with transurethral ureteroscopic lithotripsy. Results Surgical success rate and stone clearance rate by one time treatment method of observation group were significantly higher than that of control group( P 〈 0.05 ). Hospital stay and hospitali- zation expense of observation group were significantly lower than those of control group ( P 〈 0.01 ). Conclusion The efficacy of mini- mally invasive percutaneous nephrolithotomy gravel is better than that of transurethral ureteroscopy on upper ureteral calculi.
Keywords:Minimally invasive percutaneous nephrolithotomy gravel  Transurethral ureteroscopic lithotripsy  Upper ureteralcalculi
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