两种微创腔镜术式治疗输尿管上段嵌顿性结石伴感染对比研究被引量：2

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摘要目的对比微创经皮肾镜取石术(MPCNL)与输尿管软镜碎石术(F-URL)治疗输尿管上段嵌顿性结石伴感染的效果。方法选择绵阳市第三人民医院2016年4月-2018年4月收治的输尿管上段嵌顿性结石伴感染患者134例,以随机数字表法分为A组(67例)和B组(67例),分别采用MPCNL术与F-URL术治疗。比较2组患者结石清除率、临床指标水平及术后并发症发生率。结果 A组患者术后3 d结石清除率为97.01%,显著高于B组的83.58%(P<0.05);B组患者手术用时和住院时间均显著短于A组(P<0.05);B组患者中转开放手术率显著高于A组(P<0.05);2组患者术后并发症发生率比较差异无显著性(P>0.05)。结论 MPCNL术治疗输尿管上段嵌顿性结石伴感染可有效提高早期结石清除效果,降低中转开放手术风险;而F-URL术在降低操作难度和加快术后康复进程方面具有优势,临床应当根据患者具体情况和需求合理选择治疗手段。

作者孙懿罗成君吴飞翔

机构地区绵阳市第三人民医院

出处《基层医学论坛》 2023年第4期36-38,共3页 The Medical Forum

关键词输尿管上段结石嵌顿性感染 MPCNL F-URL

分类号 R659 [医药卫生—外科学]

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1张力杰,叶雄俊,黄晓波,熊六林,马凯,李建兴,王晓峰.无管化经皮肾镜和输尿管镜碎石术处理最大径线1.5cm以上输尿管上段结石的比较[J].北京大学学报（医学版）,2015,47(1):170-174. 被引量：25

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