Contrastive study of percutaneous nephrolithotomy and ureteroscopy for impacted upper ureteral calculi
10.3969/J.ISSN.1672-8270.2014.04.019
- VernacularTitle:经皮肾镜和输尿管镜治疗嵌顿性输尿管上段结石的对比研究
- Author:
Qingrong MENG
- Publication Type:Journal Article
- Keywords:
Percutaneous nephrolithotomy;
Ureteroscopy;
Incarcerated upper ureteral calculi;
Contrastive study
- From:
China Medical Equipment
2014;(4):58-59,60
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical effects of Percutaneous nephrolithotomy lithotripsy (PCNL) and transurethral ureteroscopy (URL) in the treatment of impacted upper ureteral calculi.Methods:Since 2008, There were 144 cases with incarcerated upper ureteral calculi in hospital, all patients were divided into two groups according to the different ways of treatment, the PCNL group with 72 cases and the URL group with another 72 cases. Monitor and record the rate of overall fragment, and the stone clearance rate of 3d and a month after the operation, average length of stay and total costs of the two groups. Through the Analysis to the data obtained, compare the clinical results of PCNL and URL in the treatment of impacted upper ureteral calculi.Results: For PCNL group, the rate of overall fragment, and the stone clearance rate of 3d and a month after the operation was 95.8% (69/72), 93.1% (67/72) and 98.6% (71/72), while for URL group, the data was 84.7% (61/72), 83.3% (60/72) and 86.1% (62/72), the difference was statistically significant (x2=5.18,x2=5.85,x2=6.49;P<0.05); The operation time, average length of stay and total costs for PCNL group are greater than the URL group, and the difference was statistically significant(t=3.80, t=4.87,t=5.34;P<0.05).Conclusion: PCNL compared with the URL in the treatment of impacted upper ureteral calculi has a better performance on stone clearance, but there are problems of higher costs and longer hospital stay. Accordingly, patients need a comprehensive comparison and choose the appropriate way.
