摘要
目的:探讨复杂性输尿管上段结石的最佳治疗方法。方法对68例复杂性输尿管上段结石患者行三种微创技术联合治疗。结果33例患者行输尿管镜或联合经皮肾镜碎石取石术(MPCNL)和后腹腔镜下输尿管切开取石术(RLU)治疗后,术中取尽结石率为90.9%(30/33)。11例患者行 MPCNL 或联合经尿道输尿管镜碎石取石术(URL)和 RLU 治疗后,术中取尽结石率为100%。24例行腹腔镜切开取石术(RLU),术中取尽结石率为100%。手术均获成功,无严重并发症发生。结论对于复杂性输尿管上段结石的微创治疗,应根据临床情况制定多种个性化治疗方案。
Objective To investigate the best therapy of complicated upper ureteral calculi. Methods A total of 68 patients with complicated upper ureteral calculi underwent combined three mini-mally invasive therapies.Results In the 33 cases selected for ureteroscopy or combined minimally inva-sive percutaneous nephrolithotomy(MPCNL)and retroperitoneal laparoscopic ureterolithotomy(RLU),the stone-free rate was 90.9%(30 /33).In the 11 cases selected for MPCNL or combined ureteroscopic litho-tripsy(URL)and RLU,the stone-free rate was 100%.In the 24 cases selected for RLU,the stone-free rate was 100%.All the patients had successful operations without serious complications.Conclusion In the treatment of complicated upper ureteral calculi,multiple individual therapies should be considered accord-ing to the clinical condition.
出处
《临床外科杂志》
2014年第11期805-807,共3页
Journal of Clinical Surgery
关键词
复杂性输尿管上段结石
微创治疗
complicated upper ureteral calculi minimally invasive therap