后腹腔镜与输尿管镜治疗输尿管上段结石的比较研究.docVIP

后腹腔镜与输尿管镜治疗输尿管上段结石的比较研究 　　【摘要】 目的：比较分析后腹腔镜与输尿管镜治疗输尿管上段结石的临床效果。方法：采用随机数字表法选取100例采用输尿管镜治疗输尿管上段结石的患者作为对照组，选取86例采用后腹腔镜治疗输尿管上段结石的患者作为试验组，比较两组患者取石成功率、结石滑入肾内无法取出率及术后结石残余率情况。结果：试验组取石成功率（100%）明显高于对照组（75.00%），试验组结石滑入肾内无法取出率（0）和术后结石残余率（0）都明显低于对照组结石滑入肾内无法取出率（15.00%）和术后结石残余率（10.00%），试验组结石一次性清除率（100%）明显高于对照组结石一次性清除率（75.00%），差异有统计学意义（P0.05）。结论：采用后腹腔镜的方法相较于输尿管镜技术治疗输尿管上段结石，取石成功率高，无结石滑入肾内无法取出，术后无结石残留，结石清除更彻底，安全，可靠，输尿管上段结石在输尿管镜上镜困难或结石较大时采用后腹腔镜取石更具优势。 　　【关键词】 后腹腔镜； 输尿管镜； 输尿管上段结石 　　中图分类号 R693 文献标识码 A 文章编号 1674-6805（2014）20-0016-02 　　Comparative Study of Retroperitoneoscopy and Ureteroscope in the Treatment of Upper Ureteral Calculi/HUANG Guang-long，LIANG Hua-liang，HUANG Huo，et al.//Chinese and Foreign Medical Research，2014，12（20）：16-17 　　【Abstract】 Objective：To compare and analyze the clinical effects of retroperitoneoscopy and ureteroscope in the treatment of upper ureteral calculi.Method：100 cases with upper ureteral calculi treated by ureteroscope were selected as the control group，and another 86 patients treated by retroperitoneoscopy were selected as the experimental group，by method of random number table，calculus successfully removed rate，rate of calculus slidding into kidney which couldn’t remove，residual ratio of calculus after operation of two groups were compared.Result：The successful calculus removal rate of experimental group（100%） was significantly higher than control group（75.00%） after observation，rate of calculus slidding into kidney which couldn’t remove and residual calculus of experimental group（0，0） were significantly lower than control group（15.00%，10.00%），and disposable clearance rate of experimental group（100%） was significantly higher than control group（75.00%），differences between two groups were statistically significant（P0.05）.Conclusion：Retroperitoneoscopy has advantages of higher calculi removal rate，with no calculus slidding into kidney which couldn’t remove and without calculus residual，clearing the calculus more completely over ureteroscope，safe a