微创经皮肾碎石与经尿道输尿管镜碎石治疗输尿管上段结石的比较（医疗卫生论文资料）.docVIP

微创经皮肾碎石与经尿道输尿管镜碎石治疗输尿管上段结石的比较（医疗卫生论文资料） 文档信息 ： 文档作为关于“医学心理学”中“外科学”的参考范文，为解决如何写好实用应用文、正确编写文案格式、内容素材摘取等相关工作提供支持。正文7684字，doc格式，可编辑。质优实惠，欢迎下载！ 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：微创经皮肾碎石与经尿道输尿管镜碎石治疗输尿管上段结石的比较 2 1 资料与方法 3 2 结 果 4 3 讨 论 4 文2：微创经皮肾碎石与经尿道输尿管镜碎石治疗输尿管上段结石对比分析 7 1 资料与方法 7 2 结 果 9 3 讨 论 9 参考文摘引言： 10 原创性声明（模板） 11 文章致谢（模板） 12 正文 微创经皮肾碎石与经尿道输尿管镜碎石治疗输尿管上段结石的比较（医疗卫生论文资料） 文1：微创经皮肾碎石与经尿道输尿管镜碎石治疗输尿管上段结石的比较 Comparison of minimally invasive percutaneous nephrolithotomy and traurethral ureteroscopic lithotripsy to treat upper ureteric calculi He Shijun， Ren Baoming， Zhang Zhengchun， Wang Weini， Ma Long， Wang Luwen， Min Xiaoming (Department of Urology， the Fit Hospital of Xian， Xian 710002， China)ABSTRACT: Objective To investigate the effect of minimally invasive percutaneous nephrolithotomy (MPCNL) in managing upper ureteric calculi， compared with traurethral ureteroscopic lithortripsy (URL). Methods From Jan. 2003 to Dec. 2005， of 240 patients with upper ureteric calculi， 123 received MPCNL， and 117 traurethral ureteroscopic lithortripsy. Of them， 40 patients received auxiliary extracorporeal shock wave lithoripsy (ESWL) afterwards. The stonefree rate was recorded after 1 day and 1 month postoperatively. Results 1 day and 1 month after MPCNL， the stonefree rate was 96% (119/123) and 100% (123/123) respectively， 1 day after URL， the stonefree rate was 47% (56/117). 1 month after the auxiliary ESWL， the stonefree rate was 84% (99/117). Conclusion High stonefree rate can be obtained with minimally invasive percutaneous nephrolithotomy for upper ureteric calculi. The stonefree rate is less satisfactory with traurethral ureteroscopic lithotripsy， but the result can be improved with auxiliary ESWL。 KEY WORDS: upper ureteric calculi; uretecope; percutaneous nephrolithotomy 输尿管上段结石由于其空间位置结构的独特性，且易存在结石以下输尿管狭窄、迂曲、结石嵌顿、包裹，因此目前在微创经皮肾穿刺或经尿道输尿管镜途经治疗输尿管上段结石的选择上仍有争议。本文就我院2003年1月至2005年12月，采用微创经皮肾镜取石术(MPCNL)与输尿管镜取石术(URL)治疗240例输尿管结石患者的临床疗效进行比较。