后腹腔镜输尿管切开取石与经皮肾镜治疗输尿管上段结石临床疗效的观察

Comparative analysis of upper ureteral stones treated with retroperitoneoscopic ureterolithotomy and percutaneous nephrolithotomy

将62例输尿管上段〉15mm结石患者随机分组，分别行后腹膜腹腔镜输尿管切开取石（RPUL）和经皮肾镜碎石取石（PCNL）治疗（30和32例）。两者患者年龄、性别、结石位置及大小、手术时间、手术成功率、结石清除率及双J管留置时间差异，均无统计学意义；RPUL较PCNL治疗术中出血量、术后额外镇痛剂使用率、住院时间、术后相关并发症发生率均低，差异有统计学意义（均P〈0．05）。表明RPUL术优点多，疗效好。

To explore an appropriate treatment for patients with upper ureteral stone （ 〉 15 mm in size） by comparing the therapeutic outcomes for those undergoing retroperitoneoscopic ureterolithotomy （RPUL） and percutaneous nephrolithotomy （PCNL）. A total of 62 patients with large upper ureteral stone were divided randomly into 2 groups. RPUL was performed in group A （ n = 30） and PCNL in group B （ n = 32）. No significant inter-group difference existed in age, gender, stone location and size, operative duration or surgical success rate （ P 〉 0. 05 ）. Blood loss volume, rate of postoperative analgesic usage, time of hospital stay and incidence of postoperative complications in group A were significantly lower than those of group B （P 〈 0. 05 ）. Thus RPUL offers more advantages and better efficacies.