Comparative Analysis of Four Different Operation Methods for Treatment of Complex Upper Ureteral Calculi
- VernacularTitle:不同手术方式治疗复杂性输尿管上段结石的疗效比较
- Author:
Yong LIAO
;
Kang LI
;
Jianlin HUANG
;
Yu AN
;
Mingxing QIU
- Publication Type:Journal Article
- Keywords:
Ureteral calculi;
Lithotripsy;
Percutaneous nephroscopy;
Ureteroscopy;
Laparoscopy;
Ureterolithotomy
- From:
Journal of Kunming Medical University
2014;(2):73-76
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effects of ureteroscopic lithotripsy (URL), minimally invasive percutaneous nephrolithotomy ( MPCNL) , retroperitoneal laparoscopic ureterolithotomy ( RLU) and open ureterolithotomy (UL) for the treatment of complex upper ureteral calculi. Methods The data of 281 patients with complex upper ureteral calculi from January 2005 to January 2013 were retrospectively reviewed. 48 patients of them received treatment of URL, 113 patients received MPCNL, 67 patients received RLU and other 53 patients received UL. Results Success rates of treatment at the first time were:URL 62.5% (30/48), MPCNL 92.9%(105/113),RLU 100%(67/67) and UL 100%(53/53) . The mean blood losses during the operation were:URL (9.2 ± 1.4) mL,MPCNL (72.5 ± 5.8) mL,RLU (43.1 ± 8.5) mL and UL (100.5 ± 9.2) mL. The average operation time of URL group was shorter than three other groups, and the difference was statistically significant (P< 0.05) . The average hospital stay of URL group was also shorter than three other groups ( < 0.05) . The difference was not statistically significant in complications among four groups after operation ( >0.05) . Conclusion Clinical characteristics of patients and individual require ment should be considered comprehensively before an individual treatment choice is made for the treatment of complex upper ureteral calculi.
