| 段利军,孙建明,曾向阳.输尿管软镜及经皮肾镜在上尿路结石中的疗效比较.[J].中南医学科学杂志.,2020,(1):88-92. |
| 输尿管软镜及经皮肾镜在上尿路结石中的疗效比较 |
| The comparative study of the curative effect of soft ureteroscopy and percutaneous nephroscopy in the treatment of upper urinary calculi |
| 投稿时间：2018-10-22 修订日期：2019-11-06 |
| DOI：10.15972/j.cnki.43-1509/r.2020.01.023 |
| 中文关键词: 输尿管软镜碎石取石术 经皮肾镜碎石取石术 上尿路结石 疗效对比 |
| 英文关键词:ureter soft mirror percutaneous nephrolithotomy upper urinary calculi comparison of curative effect |
| 基金项目: |
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| 中文摘要: |
| 回顾性分析住院手术治疗的1 176位上尿路结石患者,两组均按结石最长径分成＜1.5 cm、1.5～2 cm、2～2.5 cm、2.5～3 cm、＞3 cm不同大小的范围,探讨两种常用微创术式输尿管软镜碎石术(FURL)和经皮肾镜碎石术(PCNL)在不同结石大小范围内各自的优势范围。结果表明,结石大小在＜1.5 cm、1.5～2 cm时输尿管软镜占有优势,2～2.5 cm时两种术式疗效、并发症相当,结石大小在2.5～3 cm、＞3 cm时经皮肾镜占优势,两种术式均有各自的优却点及优势范围,应根据患者病情特点及患者意愿进行合理选择,但输尿管软镜碎石术具有创伤轻微、并发症少、适应症广、住院时间短、可重复、安全有效等优点更易被患者所接受。 |
| 英文摘要: |
| A retrospective analysis was performed on the data of 1176 patients with upper urinary calculi. According to the longest diameter of the stone, two groups was divided into ＜1.5 cm, 1.5~2 cm, 2~2.5 cm, 2.5~3 cm, ＞3 cm with different size range,to explore the advantages of solf ureteroscopy(FURL) and percutaneous nephrolithotomy(PCNL) in different stone sizes. The results showed that the ureteroscope was suitable for the size of stones in ＜1.5 cm, 1.5~2 cm; both methods had the same curative effect and complications in the size of stones 2~2.5 cm; in 2.5~3 cm and ＞3 cm, percutaneous nephrolithotomy was more effective. Two methods have their own advantages. Reasonable choice should be made according to the patient's condition and the willingness of patients. However,soft ureteroscopic lithotripsy had the advantages of mild trauma, less complications, wide indications, short hospital stay, repeatability, safety and effectiveness etc,which are more easily accepted by patients. |
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