腹腔镜输尿管切开取石与经皮肾镜碎石术治疗输尿管上段复杂结石的临床效果观察

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Abstract Objective To compare the clinical effect of laparoscopic ureteroscopy and percutaneous nephrolithotomy in the treatment of complex upper ureteral calculi.Methods A clinical data of 67 patients with complex upper ureteral calculi from January 2012 to December 2015 in the WU Jie-ping Urology Center of People′s Hospital of Shuyang County and Department of Urology of Xuzhou Hospital Affiliated to Medical College of Southeast University were retrospectively analyzed.The patients were divided into the RLU group(n=31)and the PCNL group(n=36)according to the operation mode,and the operation time,intraoperative blood loss,stone clearance rate,maximum body temperature, time of catheter removal,and postoperative hospital stay were compared between the two groups.Results There was no significant difference between the two groups in the operation time,stone clearance rate and the maximum body temperature after operation(P＞0.05).The time of catheter removal,and postoperative hospital stay in the RLU group was shorter than that in the PCNL group,the amount of intraoperative blood loss in the RLU group was lower than that in the PCNL group,with significant difference (P＜0.01).Conclusion RLU is a safe treatment,and the treatment of upper ureteral calculi can shorten the length of hospital stay and reduce the amount of bleeding.

Key words： Complex upper ureteral calculi Laparoscope Percutaneous nephroscope Operative complication

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	YU Quan-sheng
	CHEN Meng
	CHEN Zhi-yong
	FAN Jian-hua
	PANG Kun
	ZHANG Wei
	HAN Cong-hui

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YU Quan-sheng,CHEN Meng,CHEN Zhi-yong, et al. Clinical effect observation of laparoscopic ureterolithotomy and percutaneous nephrolithotomy in the treatment of complex upper ureteral calculi[J]. 中国当代医药, 2017, 24(8): 31-33转49.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I8/31

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