输尿管镜及微创经皮肾行钬激光碎石术治疗复杂性输尿管上段结石的疗效及安全性.docVIP

精品论文 参考文献 输尿管镜及微创经皮肾行钬激光碎石术治疗复杂性输尿管上段结石的疗效及安全性 梁舸 （四川省双流第二人民医院 四川华阳 610213） 【摘要】目的 研究输尿管镜及微创经皮肾行钬激光碎石(URSL)治疗复杂性输尿管上段结石的疗效及安全性。方法 分析进行复杂性输尿管上段结石手术的210例患者的临床资料。对比应用输尿管镜及微创治疗的患者在碎石时间、碎石率、清石率及并发症发生率等临床指标的差异状况。结果　微创手术组(n=110)的碎石率为100％，清石率在手术后的3d、1月依次为93.6％、100％，术后出现发热病患1例。输尿管镜碎石术组(n=100)，碎石率为85.1％，清石率在手术后3d、1月依次为65.6％、82.2％,4例辅助体外冲击波碎石术(ESWL)治疗后将结石排尽，无严重并发症者。微创经皮肾行钬激光碎石术治疗复杂性输尿管上段结石的碎石率及清石率明显优于输尿管镜组(Plt;O.05)。结论　微创经皮肾行钬激光碎石治疗复杂性输尿管上段结石具有手术时间短、结石清除率高且术后并发症少、患者恢复快等优势，具有临床推广的意义。 【关键词】 输尿管镜 微创钬激光碎石术 碎石率 输尿管结石 【中图分类号】R691.4 【文献标识码】A 【文章编号】2095-1752（2013）23-0027-02 【Abstract】 Objective: To study the minimally invasive percutaneous renal ureteroscope and holmium laser lithotripsy (URSL) treatment of complicated upper ureteral calculi: efficacy and safety.Methods: Analysis for complicated upper ureteral calculi operation data of 210 cases of patients with.Contrast application of ureteroscope and minimally invasive treatment of patients in the rubble, gravel, stone clearance rate time rate and incidence of complications and clinical indices of differences of status.Results: the minimally invasive operation group (n=110) gravel rate was 100%, Qing stone rate in 3D after operation were 93.6%, 100%, January, postoperative fever patients in 1 cases.Ureteroscopic lithotripsy group (n=100), stone rate was 85.1%, Qing stone rate in 3D after operation were 65.6%, 82.2%, January, 4 cases with assisted extracorporeal shock wave lithotripsy (ESWL) treatment after the stone row as, without serious complications.Minimally invasive percutaneous nephrolithotomy holmium laser lithotripsy for the treatment of complicated upper ureteral calculi crushing rate and Qing Shi was better than that of ureter mirror group (Plt;O.05).Conclusion: minimally invasive percutaneous nephrolithotomy holmium laser lithotripsy for the treatment of complicated upper ureteral calculi with operation time is short, the stone-free rate is high and less posto