后腹腔镜及输尿管镜两种术式治疗输尿管中段结石的对照研究

The control study of retroperitoneal laparoscopic and ureteroscopy for the treatment of the middle ureteral calcul

目的研究两种方法治疗输尿管中段结石的优缺点,为该种患者治疗的选择提供一定参考。方法 2011年5月～2012年7月,治疗输尿管中段结石患者(结石直径0.6～2.5cm,平均1.6cm)共85例,其中后腹腔镜手术48例,输尿管镜手术37例,将其手术时间、手术成功率、一次性清石率、中期(4周)、远期(12周)清石率、术中、术后并发症发生率等指标分类列表,通过统计学计算,了解两种术式在上诉指标上有何种差别。结果两种术式在远期清石率指标上无明显差异,但在手术时间、手术成功率、一次性清石率、中期清石率、术中、术后并发症发生率指标上有明显差异。结论针对输尿管中段结石,后腹腔镜输尿管切开取石术在多指标上优于经尿道输尿管镜钬激光碎石术。

Objective To study the two methods to the advantages and disadvantages for the treatment of the middle ure- teral calculi. Methods In May 2011 - July 2012, midway through the treatment of ureteral calculi patients （ stone diameter 0. 6 -2. 5 cm, an average of 1.6 cm） a total of 85 patients with laparoscopic surgery 48 cases, ureteroscopy 37 cases, the opera- tion time,success rate, disposable clear stone rate, medium （4 weeks） , forward （12 weeks） clear stone rate, intraoperative and postoperative complications and index classification list, through the statistics calculation, understand two kinds of operation in the appeal on the index what difference. Results Two kinds of forward clear stone rate indexes have no obvious difference but in the operation time, the success rate of the operation, disposable clear stone rate, mid clear stone rate, intraoperative and postoperative complications incidence index has obvious difference. Conclusion According to the middle ureteral calculi, after laparoscopic u- reteral cut stone art in the index is better than that of transurethral ureteroscopy holmium laser lithotripsy for clinical reference.