三种输尿管上段结石治疗方法的临床比较

目的 探讨治疗上段输尿管结石的最佳方法.方法 回顾分析我院2006年5月至2009年5月101例输尿管结石患者的外科治疗方法.A组应用小切口手术即输尿管上段切开取石术22例;B组应用微创经皮肾输尿管镜碎石术41例;C组应用后腹腔镜下输尿管切开取石术38例.分析比较三种方法在输尿管上段结石治疗中的差异.结果 A、B、C三...

A comparative study of three therapeutic methods for upper ureteral calculi

Objective To explore the best therapeutic method for upper ureteral calculi. Methods The surgical procedures which had been performed on 101 patients with upper ureteral calculi during the period of May 2006 to May 2009 were retrospectively analyzed. Group A ( 22 patients ) received ureterlithotomy, group B( 41 patients ) minimally invasive percutane nephrolithotomy, and group C( 38 patients ) received retroperitoneal laparoscopic ureterolithotomy. The differences of these three procedures were compared and analyzed. Results The duration of calculus removal was markedly shorter in group A than in group B and it was shorter in group B than in group C ([38.04 ± 3.70]min vs. [75.88 ± 16.30]min vs. [131.05 ± 13.03]min, P < 0.01 for both comparisons ). Three days and one month after the procedures, the stone-free rate was 95.4% and 100% for group A, 97.6% and 100% for group B, and 94. 7% and 94.7% for group C. The length of hospital stay was significantly longer in groups A and B than in group C ([7.5 ±1]d vs. [7.3 ± 1]d vs. [4.5 ± 1.4]d, P < 0.01). Couclusions All the three groups have a higher rate of calculus removal. Three procedures have their own advantage. We shoule choose different procedures according to the actual situation.