微通道经皮肾镜与后腹腔镜治疗嵌顿性输尿管上段结石的临床效果比较

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Abstract Objective To investigate the clinical effect of microchannel percutaneous nephroscopy and retroperitoneal laparoscopy in the treatment of incarcerated upper ureteral calculi.Methods A total of 80 cases of incarcerated upper ureteral calculi admitted to our hospital from January 2017 to March 2018 were selected as research objects.The patients were divided into two groups,with 40 cases in each group.The control group was treated by retroperitoneal laparoscopic lithotomy,and the study group was treated by microchannel percutaneous nephroscopy.Operative time,intraoperative bleeding,stone removal rate,length of hospital stay,visual analogue score(VAS)for postoperative pain and complications were compared between the two groups.Results The operation time and hospitalization time of patients in the study group were shorter than those in the control group,and the VAS score of 24 h after surgery was lower than that in the control group,the differences were statistically significant(P<0.05),while there was no significant difference in intraoperative blood loss between the two groups(P>0.05).The stone removal rate in the study group(100.00%)was higher than that in the control group(90.00%),and the difference was statistically significant(P<0.05).The total incidence of complications in the study group(5.00%)was compared with that in the control group(7.50%),and the difference was not statistically significant(P>0.05).Conclusion Microchannel percutaneous nephrolithotomy for the treatment of incarcerated upper ureteral calculi has definite clinical effect,and has the advantages of simple operation,quick recovery and so on.It also has advantages in stone removal rate and is worth learning.

Key words： Stone clearance rate Microchannel percutaneous nephroscopy Retroperitoneal laparoscopy Incarcerated upper ureteral calculi

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	YAN Quan-hua

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YAN Quan-hua. Clinical effect comparison of microchannel percutaneous nephroscope and retroperitoneoscope in the treatment of incarcerated upper ureteral calculi[J]. 中国当代医药, 2019, 26(16): 86-88.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I16/86

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