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[1]嚴(yán)偉志.3種手術(shù)方式在單側(cè)輸尿管上段結(jié)石治療中應(yīng)用選擇和療效比較[J].福建醫(yī)藥雜志,2023,45(02):22-24.
　YAN Weizhi.Retrospective study on the selection and efficacy of three surgical methods in the treatment of unilateral upper ureteral calculi[J].FUJIAN MEDICAL JOURNAL,2023,45(02):22-24.
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3種手術(shù)方式在單側(cè)輸尿管上段結(jié)石治療中應(yīng)用選擇和療效比較()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
45
期數(shù):
2023年02期
頁(yè)碼:
22-24
欄目:
臨床研究
出版日期:
2023-04-15

文章信息/Info

Title:
Retrospective study on the selection and efficacy of three surgical methods in the treatment of unilateral upper ureteral calculi
文章編號(hào):
1002-2600(2023)02-0022-03
作者:
嚴(yán)偉志
福建省福清市醫(yī)院泌尿外科（福清 350300）
Author(s):
YAN Weizhi
Department of Urology, Fuqing Hospital of Fujian, Fuqing, Fujian 350300, China
關(guān)鍵詞:
單側(cè)輸尿管上段結(jié)石; 手術(shù)方式; 療效; 結(jié)石分布特征
Keywords:
unilateral upper ureteral calculi;  surgical method;  curative effect;  distribution characteristics of calculi
分類(lèi)號(hào):
R691.4
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 探討單側(cè)輸尿管上段結(jié)石微創(chuàng)手術(shù)治療的術(shù)式選擇與臨床效果。方法 回顧性分析本院從2019年1月至2021年12月行微創(chuàng)手術(shù)治療的單側(cè)輸尿管上段結(jié)石患者121例，其中經(jīng)尿道輸尿管硬件鏡手術(shù)（URL）42例，經(jīng)皮腎鏡碎石取石術(shù)（PCNL）43例，后腹腔鏡輸尿管切開(kāi)取石術(shù)（RLUL）36例。比較分析3種手術(shù)方式的結(jié)石分布特征；評(píng)估3種手術(shù)方式的治療效果。結(jié)果 3種手術(shù)結(jié)石清除率都超過(guò)90%，URL組多次手術(shù)率11.9%，RLUL及 PCNL組結(jié)石清除率高，無(wú)多次手術(shù)。結(jié)論 3種術(shù)式治療單側(cè)輸尿管上段結(jié)石是安全、有效、微創(chuàng)的，可以根據(jù)結(jié)石在術(shù)前影像學(xué)CT的分布特征進(jìn)行最優(yōu)化術(shù)式選擇。
Abstract:
Objective To explore the choice of minimally invasive surgical methods and the clinical effect for unilateral upper ureteral calculi. Methods A total of 121 patients with unilateral upper ureteral calculi who underwent minimally invasive surgery in our hospital from January 2019 to December 2021 were retrospectively analyzed. URL was performed in 42 cases, PCNL in 43 cases. RLUL in 36 cases. The distribution characteristics of calculi in three different methods were compared and analyzed. Therapeutic effects of the three surgical methods were compared and evaluated. Results The stone-free rate was over 90%. The rate of multiple operations in the URL group was 11.9%. The stone-free rate in the RLUL and PCNL groups was high, and there was no multiple operations. Conclusion URL, PCNL and RLUL are safe, effective, and minimally invasive.They can be optimized according to the distribution characteristics of preoperative imaging and CT.

參考文獻(xiàn)/References:

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更新日期/Last Update: 2023-04-15