后腹腔镜下取石与输尿管镜碎石治疗输尿管上段结石的对比分析

Comparative Analysis of Ureteric Calculi Treated with Laparoscopic Ureterolithotomy and Ureteroscopic Lithotripsy

目的探讨后腹腔镜下输尿管切开取石术与经输尿管镜气压弹道碎石术治疗输尿管上段结石的疗效。方法输尿管上段结石患者50例,其中后腹腔镜输尿管切开取石术治疗23例(A组),经输尿管镜气压弹道碎石术治疗27例(B组),进行疗效对比研究。结果A组23例中21例一次治疗成功,成功率为91.3%,2例转开放手术;B组27例,17例一次治疗成功,成功率为63.0%,5例行ESWL治疗,5例改行后腹腔镜输尿管切开取石治疗成功。两组差异有统计学意义(P<0.01)。结论后腹腔镜下输尿管切开取石术具有创伤小、痛苦小、恢复快、可以完整的取出结石等优点,是治疗输尿管上段结石有效、可行的微创技术,值得推广。

Objective To evaluate the therapeutic effects of laparoscopie ureterolithotomy and ureteroscopie pneumatic lithotripsy for proximal ureterie calculus. Methods 50 patients with ureteric calculus were treated, which 23 patients （group A）with laparoscopie ureterolithotomy and 27 patients（ group B）with ureteroscopie lithotripsy. Comparative study of the effect was made. Results The success ratio of group A is 91.3 % and that of group Bis62.9%（ P 〈0.01）,which the difference has statistical significanee（ P 〈0.01）. Conclusion Laparoseopie ureterolithotomyis supposed to be a feasible tectmique in ureterie calculus treatment.