输尿管硬镜联合封堵器与B超引导下经皮肾镜处理输尿管上段结石疗效对比分析.docVIP

输尿管硬镜联合封堵器与B超引导下经皮肾镜处理输尿管上段结石疗效对比分析 　　[摘要] 目的 对比分析输尿管硬镜联合封堵器与B超引导下经皮肾镜处理输尿管上段结石的疗效。 方法 选择本院120例输尿管上段结石患者随机分为两组，各60例，分别为输尿管硬镜联合封堵器碎石术组（ureteroscopic lithotripsy，URL组）和B超引导下经皮肾镜碎石术组（percutaneous nepholithotomy lithotomy，PCNL组）。观察并对比分析两组的治疗效果。 结果 一次碎石成功率：URL组83.3%，PCNL组96.7%，差异有统计学意义（P0.05）。 结论 输尿管硬镜联合封堵器激光碎石创伤较小，但B超引导下经皮肾镜激光碎石术有较高的碎石成功率及清除率。临床应具体分析，以达到最佳的诊疗效果。 　　[关键词] 输尿管硬镜联合封堵器碎石；经皮肾镜激光碎石；输尿管上段结石； B超引导 　　[中图分类号] R699；R693.4 [文献标识码] A [文章编号] 1673-9701（2016）26-0009-03 　　The comparative analysis for the efficacy of percutaneous nephrolithotomy by B-ultrasound guided and ureteroscopic lithotripsy with occluder device in the treatment of upper ureteral calculi 　　SHEN Minqiang1 ZHANG Minghua1 YE Fagen1 YANG Ronghua1 HE Xiang2 　　1.Department of Urology， Huzhou Central Hospital in Zhejiang Province， Huzhou 313000， China； 2.Department of Urology， Peoples Hospital of Zhejiang Province， Hangzhou 310014， China 　　[Abstract] Objective To compare and analyze the efficacy of ureteroscopic lithotripsy with occluder device and percutaneous nephrolithotomy by B-ultrasound guided in the treatment of upper ureteral calculi. Methods 120 cases of upper ureteral calculi in our hospital were chosen as the research objects. they were randomly divided into two groups，and 60 cases in each group. One group was given ureteroscopic lithotripsy（URL） with occluder device，the other group was given the percutaneous nepholithotomy lithotomy（PCNL） by B-ultrasound guided. The treatment effect was observed and analyzed. Results The sucess rates of treatment at the first time were URL 83.3%，PCNL 96.7%，the difference was statistically significant（P0.05）. Conclusion The ureteroscopic lithotripsy with occluder device has less trauma，the percutaneous nepholithotomy lithotomy（PCNL） by ultrasound guided has hinger success rate and stone free rate. To achieve the best therapeutic effect，the concrete problems should be concrete analyzed . 　　[Key words] The ureteroscopic lithotripsy with occluder device； T