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[1]田丰,董杰,王龙信,等.输尿管镜钬激光碎石与后腹腔镜输尿管切开取石治疗上段输尿管结石的临床效果比较[J].医学研究与战创伤救治(原医学研究生学报),2014,16(04):370-372.[doi:10.3969/j.issn.1672-271X.2014.04.011]
　TIAN Feng,DONG Jie,WANG Long-xin,et al.Comparison of clinical curative effect of ureteroscopy with holmium laser lithotripsy and retro-peritoneal laparoscope ureterolithotomy on treatment of upper ureteral calculus[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2014,16(04):370-372.[doi:10.3969/j.issn.1672-271X.2014.04.011]
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输尿管镜钬激光碎石与后腹腔镜输尿管切开取石治疗上段输尿管结石的临床效果比较()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第16卷
期数:
2014年04期
页码:
370-372
栏目:
出版日期:
2014-07-31

文章信息/Info

Title:
Comparison of clinical curative effect of ureteroscopy with holmium laser lithotripsy and retro-peritoneal laparoscope ureterolithotomy on treatment of upper ureteral calculus
作者:
田丰1; 董杰1; 王龙信1; 傅点1; 程文1; 王立新2; 黄亮2; 周凯1
1.210002 江苏南京，南京军区南京总医院泌尿外科；2.116021 辽宁大连，解放军210医院泌尿外科
Author(s):
TIAN Feng1; DONG Jie1; WANG Long-xin1; FU Dian1; CHENG Wen1; WANG Li-xin2; HUANG Liang2; ZHOU Kai1.
1.Department of Urology,Nanjing General Hospital of Nanjing Military Command,PLA,Nanjing,Jiangsu 210002,China；2.Department of Urology,210 Hospital of PLA,Dalian,Liaoning 116021,China
关键词:
上段输尿管结石; 输尿管镜钬激光碎石术; 后腹腔镜输尿管切开取石术
Keywords:
upper ureteral calculus;  ureteroscopic holmium laser lithotripsy;  retro-peritoneal laparoscopic ureterolithotomy
分类号:
R693.4
DOI:
10.3969/j.issn.1672-271X.2014.04.011
文献标志码:
A
摘要:
目的 比较输尿管镜钬激光碎石术(URS)和后腹腔镜输尿管切开取石术(RPLU)治疗输尿管上段结石的疗效。方法 回顾性分析2011年5月-2012年5月上段输尿管结石70例的临床资料，其中行URS 38例，行RPLU 32例，对比两组患者手术成功率、手术时间、术中出血量、术后住院时间和术后并发症的差异。结果 URS组38例结石一次性取净率(直径无>4 mm结石残留)为86.8%(33/38),RPLU组32例结石一次性取净率为100.0%。URS组手术时间(85.63±14.01)min，术中出血量(11.18±7.11)mL，术后住院时间(3.95±1.51)d,术后并发症5例,RPLU组分别为(79.94±18.59)min，(20.94±10.96)mL，(4.53±1.24)d和0例。RPLU组在手术成功率上显著高于URS组，在术后并发症上也显著低于URS组(均P<0.05)。而在术中出血量上URS组则显著少于RPLU组(P<0.05)。在手术时间和术后住院天数上，两组比较差异无统计学意义(P>0.05)。结论 URS与RPLU比较，RPLU治疗上段输尿管结石手术成功率高，术后并发症少，而URS失血量少。
Abstract:
Objective To compare the clinical effect of ureteroscopic holmium laser lithotripsy and retro-peritoneal laparoscopic ureterolithotomy on treatment of upper ureteral calculus.Methods The data of 70 cases of hospitalized patients with upper ureteral calculus between May 2011 and May 2012 were retrospectively studied.They were divided into ureteroscopy (URS) with holmium laser lithotripsy group (38 cases) and retro-peritoneal laparoscopic ureterolithotomy (RPLU) group (32 cases).The data of curative rate,operation time,blood loss,postoperation hospitalization time and complications were compared respectively.Results The curative rate (no calculus>4 mm left) of URS group were 86.8% (33/38),while the curative rate of RPLU group were 100.0%.In URS group,the operation time was (85.63±14.01) min，the blood loss was (11.18±7.11)mL,the postoperation hospitalization time was (3.95±1.51) d and the complication was 5 cases.While the data of these index in RPLU group were (79.94±18.59) min,(20.94±10.96) mL,(4.53±1.24) d and 0 case respectively.There were statistically significant difference in curative rate,complication and blood loss between RPLU group and URS group (P<0.05).There was no statistically significant differences in operation time and postoperation hospitalization time between the two groups (P>0.05).Conclusion Comparing with URS,RPLU has advantage on higher curative rate and lower complications in the treatment of upper ureteral calculus.While the blood lose of URS is less.

参考文献/References:

[1]Preminger GM,Tiselius HG,Assimos DG,et al.2007 Guideline for the management of ureteral calculi[J]．Eur Urol,2007,178(6):2418-2434.
[2]刘成山，邵志强，张 鹏,等.影响上尿路结石体外冲击波碎石预后的因素[J].南方医科大学学报,2008,28(11):2063-2065.
[3]龚 隽,葛京平,徐晓锋,等.嵌顿性输尿管上段结石的 3种微创术式分析[J].医学研究生学报,2010,23(8):856-859.
[4]Fang YQ,Qiu JG,Wang DJ,et al.Comparative study on ureteroscopic lithotripsy and laparoscopic ureterolithotomy for treatment of unilateral upper ureteral stones[J].Acta Cir Bras,2012,27(3):266-270.
[5]Hemal AK,Goel A,Goel R.Minimally invasive retroperitoneoscopic ureterolithotomy[J].J Urol,2003,169(2):480-482.
[6]程 文,高建平,张征宇,等.经后腹腔镜治疗输尿管上段结石的临床探讨(附 33例报告)[J].东南国防医药,2010,12(6):484-486.
[7]Kurahashi T,Miyake H,Oka N,et al.Clinical outcome of ureteroscopic lithotripsy for 2,129 patients with ureteral stones[J].Urol Res,2007,35(3):149-153.
[8]高 旭,许传亮,陈 策,等.输尿管镜下钬激光碎石术后重症感染诊治体会[J].中华泌尿外科杂志,2005,26(1):33-35.
[9]周晨曦，丁 俊，李国波,等.逆行输尿管镜钬激光碎石术 472 例分析[J].东南国防医药,2011,13(5):406-408.
[10]田 丰,朱开常,包丽媛,等.输尿管镜钬激光治疗上段输尿管结石96例报告[J].临床军医杂志,2009,37(5):811-812.

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更新日期/Last Update: 2014-07-20